Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06228 | Date 09/02/2024 |
| Token No | SM/24-25/34772 29/01/2025 | Serial | 001 |
| Patient Name | Mrs. USHA RANI BANIK | Contact No | 8100511306 |
| Address | 43/32/D/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/100 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||