Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06136 | Date 30/01/2024 |
| Token No | SM/25-26/12058 17/12/2025 | Serial | 005 |
| Patient Name | Mrs. PRATIVA SAH | Contact No | 6291748148 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||