Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09564 | Date 14/07/2025 |
| Token No | SM/25-26/4705 15/07/2025 | Serial | 002 |
| Patient Name | Mrs. SAMINA BEGAM | Contact No | 6291456702 |
| Address | 89/A MALLICKPARA LANE SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||