Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07476 | Date 18/07/2024 |
| Token No | SM/25-26/1171 25/04/2025 | Serial | 004 |
| Patient Name | Mrs. BEBY DEVI | Contact No | 8820704460 |
| Address | 250 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||