Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09787 | Date 21/08/2025 |
| Token No | SM/25-26/6761 23/08/2025 | Serial | 012 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 9331612806 |
| Address | BLOCK NO-B-1 FLAT NO 203 SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||