Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07517 | Date 24/07/2024 |
| Token No | SM/25-26/4195 01/07/2025 | Serial | 010 |
| Patient Name | Mrs. PUJA DAS | Contact No | 9330408050 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||