Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09066 | Date 08/04/2025 |
| Token No | SM/25-26/387 08/04/2025 | Serial | 013 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 6291560087 |
| Address | 8/A/2/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||