Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08759 | Date 20/02/2025 |
| Token No | SM/24-25/35925 21/02/2025 | Serial | 001 |
| Patient Name | Mrs. ARATI KARMAKAR | Contact No | 8100206056 |
| Address | 65/24/4 GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||