Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07683 | Date 16/08/2024 |
| Token No | SM/25-26/10278 11/11/2025 | Serial | 009 |
| Patient Name | Mrs. GOLABI BHUINYA | Contact No | 7980611498 |
| Address | HARIJAN PALLY B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||