Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10236 | Date 27/11/2025 |
| Token No | SM/25-26/11106 27/11/2025 | Serial | 059 |
| Patient Name | Mrs. PAYEL BISWAS | Contact No | 9382760773 |
| Address | D/22 GANGULY BAGAN GOVT QUERTER 712202 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||