Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08500 | Date 03/01/2025 |
| Token No | SM/24-25/33662 04/01/2025 | Serial | 008 |
| Patient Name | Mrs. ANISHA KHURSHID | Contact No | 9331420132 |
| Address | 59/A/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||