Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02741 | Date 21/09/2022 |
| Token No | SM/25-26/7678 09/09/2025 | Serial | 018 |
| Patient Name | Mrs. SUMI DAS | Contact No | 7980141760 |
| Address | 43/4/B PRABASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||