Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10011 | Date 25/09/2025 |
| Token No | SM/25-26/8637 27/09/2025 | Serial | 007 |
| Patient Name | Mrs. ANJALI YADAV | Contact No | 8697145021 |
| Address | 60/B PRAVASNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||