Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07975 | Date 01/10/2024 |
| Token No | SM/25-26/8076 16/09/2025 | Serial | 092 |
| Patient Name | Mrs. SIULI DAS | Contact No | 9163462143 |
| Address | 101/B J N LAHIRI ROAD SERAMPORE 712201 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 74 KG |
| Pulse Rate | 76 / min | Height | 151CM cm |
| Diagnosis | |||