Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09490 | Date 23/06/2025 |
| Token No | SM/25-26/3902 24/06/2025 | Serial | 010 |
| Patient Name | Mrs. MANISHA NAYAK | Contact No | 7033045623 |
| Address | B B GHOSH ROAD MUNICIPARA QUARTER SERAMPORE M 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||