Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09196 | Date 02/05/2025 |
| Token No | SM/25-26/9081 14/10/2025 | Serial | 005 |
| Patient Name | Mrs. SANDHYA PRAMANICK | Contact No | 7003167946 |
| Address | MAJUMDER MATH MONIRAMPUR NORTH BARRACKPUR M N 24 PRGS 700120 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||