Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09632 | Date 24/07/2025 |
| Token No | SM/25-26/5328 25/07/2025 | Serial | 010 |
| Patient Name | Mrs. MADHU KUMARI | Contact No | 9709692510 |
| Address | 10/A PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||