Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05638 | Date 10/11/2023 |
| Token No | SM/25-26/11704 09/12/2025 | Serial | 001 |
| Patient Name | Mrs. KALPANA ACHARYA | Contact No | 8420662140 |
| Address | 20B PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||