Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08845 | Date 06/03/2025 |
| Token No | SM/24-25/36549 07/03/2025 | Serial | 010 |
| Patient Name | Miss KHUSI DAS | Contact No | 7980585050 |
| Address | 112 /A NEW MAHESH SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||