Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03789 | Date 17/02/2023 |
| Token No | SM/25-26/9232 16/10/2025 | Serial | 032 |
| Patient Name | Mrs. MINA DEBI | Contact No | 9330281220 |
| Address | 56 RAYLAND ROAD SERAMPORE 712201 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||