Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04473 | Date 10/07/2023 |
| Token No | SM/24-25/33792 07/01/2025 | Serial | 004 |
| Patient Name | Mrs. MINU MALLICK | Contact No | 8017173759 |
| Address | 31 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||