Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08915 | Date 19/03/2025 |
| Token No | SM/24-25/37128 20/03/2025 | Serial | 011 |
| Patient Name | Mrs. PRITI SHAW | Contact No | 8240539404 |
| Address | SUBHASNAGAR HOUSING COMPLEX SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||