Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01638 | Date 23/05/2022 |
| Token No | SM/25-26/5329 25/07/2025 | Serial | 011 |
| Patient Name | Miss KHUSBHU KUMARI SINGH | Contact No | 9836138266 |
| Address | 13 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/50 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||