Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08443 | Date 23/12/2024 |
| Token No | SM/25-26/1776 09/05/2025 | Serial | 003 |
| Patient Name | Mrs. MADHU KUMARI | Contact No | 9007883010 |
| Address | 87/1/R PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||