Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06687 | Date 03/05/2024 |
| Token No | SM/24-25/37563 28/03/2025 | Serial | 009 |
| Patient Name | Mrs. PUNAM ROUTH | Contact No | 6209809959 |
| Address | RAJYADHARPUR SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||