Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11532 | Date 14/05/2024 |
| Token No | SM/25-26/409 07/05/2025 | Serial | 031 |
| Patient Name | Mrs. SABNAM BANU | Contact No | 9123331886 |
| Address | 21 DR, N L BHATTACHARJEE STREET | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||