Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09190 | Date 30/04/2025 |
| Token No | SM/25-26/1416 02/05/2025 | Serial | 005 |
| Patient Name | Mrs. BIRITI SHAW | Contact No | 9163070559 |
| Address | 1/B PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||