Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 11048 | Date 24/08/2026 |
| Token No | SM/25-26/20640 27/08/2026 | Serial | 005 |
| Patient Name | Mrs. SANDHYA ROY | Contact No | 9163661512 |
| Address | 65/25/19 PRAVASHNAGAR SERAMPORE 712249 | Age | 47 Years,3 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 129/72 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||