Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01157 | Date 12/03/2020 |
| Token No | SM/25-26/5504 29/07/2025 | Serial | 002 |
| Patient Name | Mrs. GANGA RANI BANERJEE | Contact No | 9143018463 |
| Address | 65/14/1B MAHESH JANNAGAR ROAD PRABASNAGAR 712249 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||