Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10084 | Date 21/10/2025 |
| Token No | SM/25-26/9397 21/10/2025 | Serial | 006 |
| Patient Name | Mrs. DIPSHIKHA SEN | Contact No | 9123070863 |
| Address | 31 G SHIBTALA LANE SERAMPORE 712202 | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||