Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03574 | Date 04/01/2023 |
| Token No | SM/25-26/11282 01/12/2025 | Serial | 010 |
| Patient Name | Mrs. SONI DEVI | Contact No | 9748136790 |
| Address | 32/2/E GURU GARDEN ROAD SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||