Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09679 | Date 31/07/2025 |
| Token No | SM/25-26/5644 01/08/2025 | Serial | 004 |
| Patient Name | Mrs. SARITA | Contact No | 7044691843 |
| Address | 20/A/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||