Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02703 | Date 14/09/2022 |
| Token No | SM/25-26/1109 24/04/2025 | Serial | 010 |
| Patient Name | Mrs. JUMMN KUMARI | Contact No | 7890496278 |
| Address | 30/E GURU GARDEN ROAD PRAVASNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||