Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09748 | Date 13/08/2025 |
| Token No | SM/25-26/6371 14/08/2025 | Serial | 030 |
| Patient Name | Mrs. ANIMA BHANDARI | Contact No | 9051335665 |
| Address | 65/25/51 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||