Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00034 | Date 07/09/2019 |
| Token No | SM/25-26/6916 26/08/2025 | Serial | 019 |
| Patient Name | Mrs. DIPA SAHA | Contact No | 9874290076 |
| Address | 35/A B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||