Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09105 | Date 16/04/2025 |
| Token No | SM/25-26/692 16/04/2025 | Serial | 007 |
| Patient Name | Mrs. NILAM DEVI | Contact No | 6290285227 |
| Address | 75 PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||