Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05982 | Date 02/01/2024 |
| Token No | SM/25-26/6294 13/08/2025 | Serial | 031 |
| Patient Name | Mrs. MANBHARAN DEVI | Contact No | 7384104273 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||