Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02760 | Date 23/09/2022 |
| Token No | SM/25-26/10111 08/11/2025 | Serial | 006 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 9134127103 |
| Address | 9 NEW MAHESH SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||