Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08639 | Date 31/01/2025 |
| Token No | SM/25-26/3893 24/06/2025 | Serial | 001 |
| Patient Name | Mrs. BASANTI SINGHAROY | Contact No | 7685994968 |
| Address | 43/14/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||