Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09726 | Date 11/08/2025 |
| Token No | SM/25-26/8108 18/09/2025 | Serial | 018 |
| Patient Name | Mrs. SUPRIYA NATH | Contact No | 8240237395 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||