Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04462 | Date 07/07/2023 |
| Token No | SM/25-26/12005 16/12/2025 | Serial | 005 |
| Patient Name | Mrs. MENOKA BAG | Contact No | 9804558530 |
| Address | 113/A NEW MAHESH SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||