Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03570 | Date 04/01/2023 |
| Token No | SM/25-26/5851 05/08/2025 | Serial | 017 |
| Patient Name | Mrs. TUMPA DAM | Contact No | 9038716101 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||