Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09075 | Date 09/04/2025 |
| Token No | SM/25-26/9083 14/10/2025 | Serial | 007 |
| Patient Name | Mrs. TRIPTI GHOSH | Contact No | 8420093267 |
| Address | 25A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 122/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||