Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06464 | Date 22/03/2024 |
| Token No | SM/25-26/12502 30/12/2025 | Serial | 005 |
| Patient Name | Mrs. BASANTI SARKAR | Contact No | 9143631275 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 160/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||