Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08773 | Date 24/02/2025 |
| Token No | SM/25-26/5974 07/08/2025 | Serial | 019 |
| Patient Name | Mrs. NANDINI DEVI | Contact No | 9330253492 |
| Address | 75 PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||