Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10237 | Date 28/11/2025 |
| Token No | SM/25-26/11114 28/11/2025 | Serial | 003 |
| Patient Name | Mrs. SONALI ROY | Contact No | 9007559494 |
| Address | S P MUKHERJEE SARANI ROY LAND ROAD SERAMPORE 712201 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||