Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12830 | Date 27/03/2025 |
| Token No | SM/24-25/21477 27/03/2025 | Serial | 008 |
| Patient Name | Mrs. SOMA SANTRA | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||