Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05591 | Date 06/11/2023 |
| Token No | SM/25-26/9713 31/10/2025 | Serial | 008 |
| Patient Name | Mrs. SUSHAMA KANDAL | Contact No | 9903203839 |
| Address | BLOCK B B B GHOSH ROAD SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||