Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02653 | Date 07/09/2022 |
| Token No | SM/25-26/6356 14/08/2025 | Serial | 015 |
| Patient Name | Mrs. NILIMA BAZAL | Contact No | 9903259733 |
| Address | 217 NEW MAHESH SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||