Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07690 | Date 17/08/2024 |
| Token No | SM/25-26/7298 02/09/2025 | Serial | 013 |
| Patient Name | Mrs. GEETA PRASAD | Contact No | 8981468065 |
| Address | 94/I/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||