Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01594 | Date 20/05/2022 |
| Token No | SM/25-26/10787 22/11/2025 | Serial | 002 |
| Patient Name | Mrs. LATIKA GANGULY | Contact No | 9163726647 |
| Address | 22/Y/23 FIRINGI DANGA ROAD MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||