Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00329 | Date 05/11/2019 |
| Token No | SM/22-23/14641 20/10/2023 | Serial | 005 |
| Patient Name | Mrs. NURBANU BIBI | Contact No | 8100564474 |
| Address | 9 MALLICKPARA SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||