Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10818 | Date 21/04/2026 |
| Token No | SM/25-26/20682 28/08/2026 | Serial | 002 |
| Patient Name | Mrs. JULLY DEVI | Contact No | 8910481223 |
| Address | 97/P/16 SHREE SHIV VIDYALAY PRAVASHNAGAR SERAMPORE 712249 | Age | 26 Years,4 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||