Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04591 | Date 24/07/2023 |
| Token No | SM/25-26/10604 18/11/2025 | Serial | 003 |
| Patient Name | Mrs. MUNMUN NANDI | Contact No | 7980603986 |
| Address | 42 L M BHATA STREET SERAMPORE 712201 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 58 KG |
| Pulse Rate | 76 / min | Height | 148CM cm |
| Diagnosis | |||