Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09527 | Date 02/07/2025 |
| Token No | SM/25-26/4323 03/07/2025 | Serial | 021 |
| Patient Name | Mrs. SUMAN HARI | Contact No | 9123073650 |
| Address | 3/4 B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||