Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07629 | Date 09/08/2024 |
| Token No | SM/25-26/1505 03/05/2025 | Serial | 042 |
| Patient Name | Mrs. KRISHNA DEBNATH | Contact No | 8697184909 |
| Address | OM APP 4TH FLOOR FL D3 4/A/1 BISWANATH JOT SARANI SERAMPORE 712201 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||