Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08919 | Date 20/03/2025 |
| Token No | SM/24-25/37214 21/03/2025 | Serial | 005 |
| Patient Name | Mrs. MAMTA | Contact No | 8013278028 |
| Address | 9/437/B G G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||