Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04911 | Date 22/08/2023 |
| Token No | SM/25-26/5115 22/07/2025 | Serial | 003 |
| Patient Name | Mrs. RIKTA SAHA | Contact No | 7890700468 |
| Address | 25/A/24 F D ROAD SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||