Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09271 | Date 13/05/2025 |
| Token No | SM/25-26/1930 13/05/2025 | Serial | 015 |
| Patient Name | Miss SANNIHITA DAS | Contact No | 8646868400 |
| Address | 43/N PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||