Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09400 | Date 04/06/2025 |
| Token No | SM/25-26/3062 05/06/2025 | Serial | 020 |
| Patient Name | Mrs. ARCHANA KUMARI BHUIYA | Contact No | 6393449327 |
| Address | BLOCK B B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||