Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08629 | Date 30/01/2025 |
| Token No | SM/24-25/34947 31/01/2025 | Serial | 026 |
| Patient Name | Mrs. NEHA BALMIKI | Contact No | 7595042002 |
| Address | 97/N/5 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||