Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02820 | Date 29/09/2022 |
| Token No | SM/25-26/8245 20/09/2025 | Serial | 003 |
| Patient Name | Mrs. TABASSUM KHATUN | Contact No | 9681692562 |
| Address | 13 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/90 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||