Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00874 | Date 05/02/2020 |
| Token No | SM/25-26/711 16/04/2025 | Serial | 026 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 7439613026 |
| Address | 49 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/78 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||