Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08658 | Date 04/02/2025 |
| Token No | SM/25-26/15464 02/03/2026 | Serial | 040 |
| Patient Name | Mrs. SABITA BANIK | Contact No | 8777680512 |
| Address | 34/B/33 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 69 Years,2 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||