Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02403 | Date 06/08/2022 |
| Token No | SM/25-26/1637 07/05/2025 | Serial | 013 |
| Patient Name | Mrs. UTTAPALA MAJHI | Contact No | 9752480088 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||