Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 11068 | Date 26/08/2026 |
| Token No | SM/25-26/20642 27/08/2026 | Serial | 007 |
| Patient Name | Mrs. RINKI DAS | Contact No | 7044622413 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 17 Years,8 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||