Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10083 | Date 18/10/2025 |
| Token No | SM/25-26/9363 18/10/2025 | Serial | 009 |
| Patient Name | Mrs. RUPA DAS | Contact No | 9163511145 |
| Address | 20/A/1 PRAVASNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||