Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04974 | Date 28/08/2023 |
| Token No | SM/25-26/4112 30/06/2025 | Serial | 023 |
| Patient Name | Mrs. MINATI SAHA | Contact No | 9874728057 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||