Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02182 | Date 07/07/2022 |
| Token No | SM/25-26/5123 22/07/2025 | Serial | 011 |
| Patient Name | Mrs. CHAMELI RUDRA | Contact No | 9231520628 |
| Address | 15/B PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||