Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09479 | Date 19/06/2025 |
| Token No | SM/25-26/3755 20/06/2025 | Serial | 003 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9123974902 |
| Address | 72/K PATUA PARA LANE SERAMPORE 712201 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||