Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09045 | Date 04/04/2025 |
| Token No | SM/25-26/329 07/04/2025 | Serial | 038 |
| Patient Name | Mrs. RITI SEN | Contact No | 7003641739 |
| Address | 20/A PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||