Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03462 | Date 21/12/2022 |
| Token No | SM/25-26/12089 18/12/2025 | Serial | 002 |
| Patient Name | Mrs. CHANDA MISHRA | Contact No | 9432653104 |
| Address | 37/2/C GURU GARDEN ROAD SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||