Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09472 | Date 18/06/2025 |
| Token No | SM/25-26/10788 22/11/2025 | Serial | 003 |
| Patient Name | Mrs. BEAUTY BEGAM | Contact No | 6294059225 |
| Address | FLAT NO 405 3RD FLOOR SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||