Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06791 | Date 15/05/2024 |
| Token No | SM/25-26/6051 08/08/2025 | Serial | 005 |
| Patient Name | Mrs. KALYANI DEBI | Contact No | 9958922043 |
| Address | STANDER PHARMACY SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||