Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08338 | Date 03/12/2024 |
| Token No | SM/25-26/7511 05/09/2025 | Serial | 001 |
| Patient Name | Mrs. RAMA CHAKRABORTY | Contact No | 6291578016 |
| Address | 28/B/3 TARA PUKUR LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||