Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00055 | Date 09/09/2019 |
| Token No | SM/25-26/20706 29/08/2026 | Serial | 015 |
| Patient Name | Mrs. RATNA DEY | Contact No | 9088657182 |
| Address | 65/15 PRABASHNAGAR SERAMPORE 712249 | Age | 56 Years,7 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 127/74 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||