Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01656 | Date 25/05/2022 |
| Token No | SM/25-26/15425 02/03/2026 | Serial | 001 |
| Patient Name | Mrs. SOUROJA DUTTA | Contact No | 9007082827 |
| Address | 29/A MALLICKPARA SERAMPORE 712203 | Age | 23 Years,1 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||