Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09979 | Date 19/09/2025 |
| Token No | SM/25-26/8188 19/09/2025 | Serial | 009 |
| Patient Name | Mrs. NITU DEVI | Contact No | 7003207677 |
| Address | 66E/2/A PRAVASNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||