Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08568 | Date 17/01/2025 |
| Token No | SM/24-25/35238 06/02/2025 | Serial | 047 |
| Patient Name | Miss LABONI MONDAL | Contact No | 9831699394 |
| Address | 20/A/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||