Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09449 | Date 13/06/2025 |
| Token No | SM/25-26/3519 14/06/2025 | Serial | 022 |
| Patient Name | Mrs. SHRIMATI ROY | Contact No | 6289762874 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||