Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00093 | Date 12/09/2019 |
| Token No | SM/25-26/12296 23/12/2025 | Serial | 001 |
| Patient Name | Mrs. RUPALI GUHA ROY | Contact No | 9831878150 |
| Address | NURSARY MATH SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 145/95 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||