Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02859 | Date 10/10/2022 |
| Token No | SM/25-26/10209 10/11/2025 | Serial | 023 |
| Patient Name | Mrs. KRISHNA DEBI | Contact No | 9088938744 |
| Address | 89 PRABASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||