Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07301 | Date 01/07/2024 |
| Token No | SM/25-26/5516 29/07/2025 | Serial | 014 |
| Patient Name | Mrs. KAKULI MONDAL | Contact No | 6291523180 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||