Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09446 | Date 12/06/2025 |
| Token No | SM/25-26/3457 13/06/2025 | Serial | 010 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 9088887750 |
| Address | 66/C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||