Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02111 | Date 30/06/2022 |
| Token No | SM/22-23/17565 18/01/2024 | Serial | 001 |
| Patient Name | Mrs. SILA PRAMANIK | Contact No | 9163691019 |
| Address | 165/D PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||