Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 16323 | Date 28/11/2025 |
| Token No | SM/25-26/8476 01/12/2025 | Serial | 018 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SUDIPTA DUTTA | Contact No | 9681956123 |
| Address | 45 PANCHU GOPAL BHADURI SARANI NEAR TIN BAZAR SERAMPORE | Age | 40 Years,2 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 114/68 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||