Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06145 | Date 01/02/2024 |
| Token No | SM/25-26/22667 27/10/2026 | Serial | 003 |
| Patient Name | Mrs. REKHA CHOWDHURY | Contact No | 9123048228 |
| Address | 13/17 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 53 Years,9 Months,24 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||