Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09234 | Date 07/05/2025 |
| Token No | SM/25-26/1644 07/05/2025 | Serial | 020 |
| Patient Name | Mrs. SARASWATI DEVI | Contact No | 9123094704 |
| Address | 97/T PRAVASNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||