Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10151 | Date 08/11/2025 |
| Token No | SM/25-26/10202 10/11/2025 | Serial | 016 |
| Patient Name | Mrs. JYOTI PRASAD | Contact No | 9681276450 |
| Address | 97/U/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||