Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10018 | Date 04/10/2025 |
| Token No | SM/25-26/8703 04/10/2025 | Serial | 001 |
| Patient Name | Mrs. GUNJA KUMARI | Contact No | 9330912742 |
| Address | 48 GURUGARDEN ROAD SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||