Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08671 | Date 05/02/2025 |
| Token No | SM/24-25/35213 06/02/2025 | Serial | 022 |
| Patient Name | Mrs. CHAND PAKIRA | Contact No | 9874388603 |
| Address | 8 B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||