Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09735 | Date 11/08/2025 |
| Token No | SM/25-26/6230 12/08/2025 | Serial | 006 |
| Patient Name | Mrs. SUKLA RANI GHOSAL | Contact No | 8240569896 |
| Address | 65/25/A M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||