Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01862 | Date 10/06/2022 |
| Token No | SM/25-26/2281 20/05/2025 | Serial | 007 |
| Patient Name | Mrs. SHILA BASU | Contact No | 9903127125 |
| Address | 5/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 74 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/70 mmHg | Weight | 65 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||