Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09851 | Date 01/09/2025 |
| Token No | SM/25-26/7210 01/09/2025 | Serial | 028 |
| Patient Name | Mrs. SULOCHANA | Contact No | 9279067937 |
| Address | 97/Q/3 PRAVASH NAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||