Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02069 | Date 27/06/2022 |
| Token No | SM/25-26/10611 18/11/2025 | Serial | 010 |
| Patient Name | Mrs. ANJALI PAL | Contact No | 9831663114 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||