Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09698 | Date 06/08/2025 |
| Token No | SM/25-26/7303 02/09/2025 | Serial | 018 |
| Patient Name | Mrs. USHA DEVI | Contact No | 6289970804 |
| Address | 66/A/27 PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||