Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05696 | Date 22/11/2023 |
| Token No | SM/25-26/11635 08/12/2025 | Serial | 007 |
| Patient Name | Mrs. MENKA UPADHYAY DAS | Contact No | 9123651812 |
| Address | 49/O/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||