Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10097 | Date 24/10/2025 |
| Token No | SM/25-26/9539 25/10/2025 | Serial | 005 |
| Patient Name | Mrs. TUHINA MALLICK | Contact No | 7980072252 |
| Address | 30 CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||