Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09385 | Date 02/06/2025 |
| Token No | SM/25-26/2949 03/06/2025 | Serial | 003 |
| Patient Name | Mrs. SANWARI KHATUN | Contact No | 8777284648 |
| Address | 9NO MALLICKPARA LANE SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||