Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00417 | Date 21/11/2019 |
| Token No | SM/24-25/36616 08/03/2025 | Serial | 026 |
| Patient Name | Mrs. ANJALI SHAW | Contact No | 9163774317 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||