Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08470 | Date 27/12/2024 |
| Token No | SM/24-25/33338 28/12/2024 | Serial | 002 |
| Patient Name | Mrs. BEAUTY BAIDYA | Contact No | 9836463164 |
| Address | 65/7/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||