Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09772 | Date 18/08/2025 |
| Token No | SM/25-26/6554 19/08/2025 | Serial | 013 |
| Patient Name | Mrs. RUPSHA ROY | Contact No | 9073116548 |
| Address | 65/25/55 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||