Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09345 | Date 26/05/2025 |
| Token No | SM/25-26/2625 27/05/2025 | Serial | 007 |
| Patient Name | Mrs. SONALI BHUIYA | Contact No | 9163545132 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||