Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09949 | Date 12/09/2025 |
| Token No | SM/25-26/8073 16/09/2025 | Serial | 089 |
| Patient Name | Mrs. RUMKI NANDY | Contact No | 9123843775 |
| Address | B/76/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||