Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08143 | Date 02/11/2024 |
| Token No | SM/25-26/2627 27/05/2025 | Serial | 009 |
| Patient Name | Mrs. SANJANA BHUIYA | Contact No | 6289979862 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||