Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05162 | Date 16/09/2023 |
| Token No | SM/25-26/5515 29/07/2025 | Serial | 013 |
| Patient Name | Mrs. RINA ADHIKARI | Contact No | 9831067142 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||