Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09876 | Date 03/09/2025 |
| Token No | SM/25-26/7360 03/09/2025 | Serial | 016 |
| Patient Name | Mrs. JYOTI RAJBHAR | Contact No | 9330219171 |
| Address | 122 PRAVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||