Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08321 | Date 29/11/2024 |
| Token No | SM/25-26/7291 02/09/2025 | Serial | 006 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 9088240667 |
| Address | 65/25/5/B/2 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||