Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10254 | Date 01/12/2025 |
| Token No | SM/25-26/11473 05/12/2025 | Serial | 003 |
| Patient Name | Mrs. KOYELI DAS | Contact No | 9330577951 |
| Address | 34/B B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||