Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08362 | Date 06/12/2024 |
| Token No | SM/25-26/2788 30/05/2025 | Serial | 005 |
| Patient Name | Mrs. PAYEL BAORI | Contact No | 9123073650 |
| Address | HARIJAN BASTI B.B GHOSH ROAD SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||