Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01725 | Date 27/05/2022 |
| Token No | SM/25-26/9907 04/11/2025 | Serial | 005 |
| Patient Name | Mrs. MANIKA RANI DAS | Contact No | 9748140811 |
| Address | 11/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 119/74 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||