Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06511 | Date 02/04/2024 |
| Token No | SM/25-26/3948 25/06/2025 | Serial | 016 |
| Patient Name | Mrs. SEFALI DAS | Contact No | 6289097733 |
| Address | 43/14/10 PRAVASNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||