Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08811 | Date 28/02/2025 |
| Token No | SM/25-26/712 16/04/2025 | Serial | 027 |
| Patient Name | Mrs. USHA DEVI | Contact No | 8114541838 |
| Address | 49/N PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||