Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05395 | Date 10/10/2023 |
| Token No | SM/25-26/8077 16/09/2025 | Serial | 093 |
| Patient Name | Mrs. GOURI MUKHERJEE | Contact No | 8777644071 |
| Address | 36/A PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 180/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||