Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02104 | Date 30/06/2022 |
| Token No | SM/25-26/640 12/04/2025 | Serial | 005 |
| Patient Name | Mrs. SHRABANTI NANDI | Contact No | 9836713978 |
| Address | 128/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||