Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09308 | Date 19/05/2025 |
| Token No | SM/25-26/2285 20/05/2025 | Serial | 011 |
| Patient Name | Mrs. GURIYA BHUIYA | Contact No | 9163015024 |
| Address | 6 B B GHOSH ROAD SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||