Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06657 | Date 29/04/2024 |
| Token No | SM/25-26/5503 29/07/2025 | Serial | 001 |
| Patient Name | Miss PINKI KUMARI CHOWDHURY | Contact No | 7044766069 |
| Address | 43/D PURBAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||