Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08153 | Date 04/11/2024 |
| Token No | SM/25-26/7094 29/08/2025 | Serial | 010 |
| Patient Name | Mrs. PUJA KUMARI | Contact No | 9330481769 |
| Address | 66/19 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||