Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13088 | Date 09/06/2025 |
| Token No | SM/25-26/732 09/06/2025 | Serial | 048 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 9674910072 |
| Address | GOSWAMI STREET,SERAMPORE | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||