Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08902 | Date 19/03/2025 |
| Token No | SM/25-26/5852 05/08/2025 | Serial | 018 |
| Patient Name | Mrs. JYOTI GUPTA | Contact No | 8910327581 |
| Address | 66/E/13 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||