Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09424 | Date 11/06/2025 |
| Token No | SM/25-26/3411 12/06/2025 | Serial | 029 |
| Patient Name | Mrs. PRIYANKA DEVI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||