Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05698 | Date 22/11/2023 |
| Token No | SM/25-26/4469 08/07/2025 | Serial | 001 |
| Patient Name | Mrs. PADMA HARI | Contact No | 8902206859 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||