Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09820 | Date 27/08/2025 |
| Token No | SM/25-26/6994 28/08/2025 | Serial | 003 |
| Patient Name | Mrs. MONISHA BOSE | Contact No | 8240147243 |
| Address | 49/D/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||