Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09818 | Date 27/08/2025 |
| Token No | SM/25-26/6998 28/08/2025 | Serial | 007 |
| Patient Name | Mrs. PAYEL DEBNATH | Contact No | 8276089131 |
| Address | 65/A/3/A M J ROAD SERAMPORE M 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||