Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09218 | Date 06/05/2025 |
| Token No | SM/25-26/3323 11/06/2025 | Serial | 040 |
| Patient Name | Mrs. SARBANI SINGHA ROY | Contact No | 8420214723 |
| Address | 43/14/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||