Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03563 | Date 03/01/2023 |
| Token No | SM/25-26/2833 31/05/2025 | Serial | 002 |
| Patient Name | Mrs. AMINA KHATUN | Contact No | 7439899353 |
| Address | 9 MALLICKPARA LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||