Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09908 | Date 08/09/2025 |
| Token No | SM/25-26/7584 08/09/2025 | Serial | 014 |
| Patient Name | Mrs. TANU ROY | Contact No | 9113496887 |
| Address | 62/6 G.T ROAD WEST MALLIKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||