Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07784 | Date 31/08/2024 |
| Token No | SM/25-26/8886 10/10/2025 | Serial | 002 |
| Patient Name | Mrs. JYOTI BHUIYA | Contact No | 9038544721 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||