Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02692 | Date 13/09/2022 |
| Token No | SM/25-26/11707 09/12/2025 | Serial | 004 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 9330471953 |
| Address | 76 PRAVASNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||