Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07092 | Date 22/06/2024 |
| Token No | SM/24-25/35523 11/02/2025 | Serial | 002 |
| Patient Name | Mrs. MONIKA MONDAL NAYEK | Contact No | 9804634025 |
| Address | 11/H/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||