Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02065 | Date 27/06/2022 |
| Token No | SM/25-26/10208 10/11/2025 | Serial | 022 |
| Patient Name | Mrs. DURGA BANERJEE | Contact No | 7278869665 |
| Address | 8/B/1 D N SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||