Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03740 | Date 11/02/2023 |
| Token No | SM/25-26/690 16/04/2025 | Serial | 005 |
| Patient Name | Mrs. APARNA PAUL | Contact No | 9334048365 |
| Address | 4A 4TH FLOOR BLOCK B 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||