Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08744 | Date 17/02/2025 |
| Token No | SM/25-26/860 19/04/2025 | Serial | 028 |
| Patient Name | Mrs. JYOTI KUMARI | Contact No | 6204977613 |
| Address | 165/A PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||