Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10196 | Date 20/11/2025 |
| Token No | SM/25-26/10758 21/11/2025 | Serial | 004 |
| Patient Name | Mrs. MAYA YADAV | Contact No | 9883535099 |
| Address | 56 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||