Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10044 | Date 10/10/2025 |
| Token No | SM/25-26/8978 11/10/2025 | Serial | 044 |
| Patient Name | Miss SHRUTI SARKAR | Contact No | 7980313779 |
| Address | 35/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||