Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00941 | Date 14/02/2020 |
| Token No | SM/25-26/8502 25/09/2025 | Serial | 007 |
| Patient Name | Mrs. LOVELY SHARMA | Contact No | 7488728986 |
| Address | 97/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||