Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06316 | Date 19/02/2024 |
| Token No | SM/25-26/1513 03/05/2025 | Serial | 050 |
| Patient Name | Mrs. RINKU DEVI | Contact No | 7605826182 |
| Address | 1/B/A2 S S ROAD RISHRA M SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||