Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09474 | Date 18/06/2025 |
| Token No | SM/25-26/3713 19/06/2025 | Serial | 005 |
| Patient Name | Mrs. NAMITA DUTTA | Contact No | 7687922687 |
| Address | 26/B/2 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||