Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09261 | Date 10/05/2025 |
| Token No | SM/25-26/1916 13/05/2025 | Serial | 001 |
| Patient Name | Mrs. DEEPIKA PAL | Contact No | 7408855679 |
| Address | 66/E/13 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||