Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10079 | Date 17/10/2025 |
| Token No | SM/25-26/9362 18/10/2025 | Serial | 008 |
| Patient Name | Mrs. DURGA MAJHI | Contact No | 9903160997 |
| Address | 119 NEW MAHESH SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||