Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02982 | Date 22/10/2022 |
| Token No | SM/22-23/17841 29/01/2024 | Serial | 005 |
| Patient Name | Mrs. ARJUNA KHATUN | Contact No | 7278071331 |
| Address | 35/A/1 MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||