Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09120 | Date 17/04/2025 |
| Token No | SM/25-26/994 22/04/2025 | Serial | 009 |
| Patient Name | Mrs. RUMI RUIDAS | Contact No | 9748123017 |
| Address | 8A MUCHIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||