Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05580 | Date 04/11/2023 |
| Token No | SM/25-26/2959 03/06/2025 | Serial | 013 |
| Patient Name | Mrs. RANJU SHREE | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||