Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08134 | Date 30/10/2024 |
| Token No | SM/24-25/34434 21/01/2025 | Serial | 008 |
| Patient Name | Miss PROMITA MAJHI | Contact No | 9883122390 |
| Address | 13/14 B B GHOSH ROAD SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||