Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09172 | Date 24/04/2025 |
| Token No | SM/25-26/1168 25/04/2025 | Serial | 001 |
| Patient Name | Mrs. SANIA KHATUN | Contact No | 7003594245 |
| Address | 14/1/B MALLICKPARA LANE SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||