Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05751 | Date 28/11/2023 |
| Token No | SM/22-23/17483 16/01/2024 | Serial | 005 |
| Patient Name | Mrs. RINA DOLUI | Contact No | 8442964428 |
| Address | BAIDYABATI HOOGHLY | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||