Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01067 | Date 24/02/2020 |
| Token No | SM/25-26/10080 07/11/2025 | Serial | 018 |
| Patient Name | Mrs. REKHA DUTTA | Contact No | 8348003744 |
| Address | 12/A TARAPUKUR LANE SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||