Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04238 | Date 27/05/2023 |
| Token No | SM/25-26/7879 11/09/2025 | Serial | 086 |
| Patient Name | Mrs. NEHA KUMARI | Contact No | 7980835288 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||