Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10164 | Date 12/11/2025 |
| Token No | SM/25-26/10396 14/11/2025 | Serial | 008 |
| Patient Name | Mrs. KHUSHBU KUMARI | Contact No | 8651998596 |
| Address | 87/1/R PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||