Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05711 | Date 23/11/2023 |
| Token No | SM/25-26/7880 11/09/2025 | Serial | 087 |
| Patient Name | Mrs. MOUMITA MAJHI | Contact No | 7439741639 |
| Address | 13/14 B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 99 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||