Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09163 | Date 23/04/2025 |
| Token No | SM/25-26/1110 24/04/2025 | Serial | 011 |
| Patient Name | Mrs. KAUSHALYA RAM | Contact No | 8013660677 |
| Address | 65/25/1/1 MAHESH JANNAGAR ROADPRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||