Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09530 | Date 03/07/2025 |
| Token No | SM/25-26/4376 04/07/2025 | Serial | 006 |
| Patient Name | Mrs. JYOTI KUMARI | Contact No | 9875681763 |
| Address | 97/K GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||