Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09329 | Date 22/05/2025 |
| Token No | SM/25-26/2471 23/05/2025 | Serial | 002 |
| Patient Name | Mrs. MUNTAHA PARVEEN | Contact No | 7003239694 |
| Address | 29/A/8 MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||