Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08626 | Date 29/01/2025 |
| Token No | SM/25-26/375 08/04/2025 | Serial | 001 |
| Patient Name | Mrs. BABITA DAS | Contact No | 8017131672 |
| Address | 114 PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||