Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09188 | Date 29/04/2025 |
| Token No | SM/25-26/1333 29/04/2025 | Serial | 012 |
| Patient Name | Mrs. KANCHAN DEVI | Contact No | 9038740665 |
| Address | 80/5 K B LANE 712248 SERAMPORE | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||