Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08689 | Date 07/02/2025 |
| Token No | SM/25-26/7944 13/09/2025 | Serial | 014 |
| Patient Name | Mrs. BABY KUMARI | Contact No | 8100650887 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||