Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05597 | Date 06/11/2023 |
| Token No | SM/25-26/12617 31/12/2025 | Serial | 064 |
| Patient Name | Mrs. BEBI DUBEY | Contact No | 8240495965 |
| Address | 493 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||