Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06495 | Date 30/03/2024 |
| Token No | SM/25-26/4322 03/07/2025 | Serial | 020 |
| Patient Name | Mrs. ARPITA DAS | Contact No | 7439337570 |
| Address | 15/D PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||