Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10069 | Date 16/10/2025 |
| Token No | SM/25-26/9300 17/10/2025 | Serial | 002 |
| Patient Name | Mrs. KAKALI DAS | Contact No | 9748389396 |
| Address | 30/60/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||