Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09825 | Date 28/08/2025 |
| Token No | SM/25-26/7090 29/08/2025 | Serial | 006 |
| Patient Name | Mrs. SOMA CHAKRABORTY | Contact No | 9007106889 |
| Address | 9/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||