Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00247 | Date 25/09/2019 |
| Token No | SM/24-25/34247 17/01/2025 | Serial | 005 |
| Patient Name | Mrs. LAXMI MALAKAR | Contact No | 8697364267 |
| Address | 45 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||