Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09689 | Date 04/08/2025 |
| Token No | SM/25-26/5850 05/08/2025 | Serial | 016 |
| Patient Name | Mrs. RUNA MANNA | Contact No | 8240235097 |
| Address | 65/19/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||