Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09387 | Date 03/06/2025 |
| Token No | SM/25-26/2947 03/06/2025 | Serial | 001 |
| Patient Name | Mrs. INDU PATWA | Contact No | 8013630941 |
| Address | 107/A/1 GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||