Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04833 | Date 14/08/2023 |
| Token No | SM/25-26/1879 12/05/2025 | Serial | 021 |
| Patient Name | Mrs. SWAPNA BHUIYA | Contact No | 7044373152 |
| Address | 48 GURUGARDEN ROAD SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||