Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08928 | Date 21/03/2025 |
| Token No | SM/24-25/37291 22/03/2025 | Serial | 030 |
| Patient Name | Mrs. JYOTI KUMARI | Contact No | 8820212472 |
| Address | 55/A/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||