Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09707 | Date 07/08/2025 |
| Token No | SM/25-26/6550 19/08/2025 | Serial | 009 |
| Patient Name | Mrs. SANDHYA JAISWAL | Contact No | 6289537525 |
| Address | 97/H/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||