Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09284 | Date 14/05/2025 |
| Token No | SM/25-26/2022 14/05/2025 | Serial | 069 |
| Patient Name | Mrs. SUDHA SHAW | Contact No | 7685886899 |
| Address | 40 B/1 BLC MILLS ROAD SERAMPORE 712202 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||