Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09495 | Date 24/06/2025 |
| Token No | SM/25-26/8707 07/10/2025 | Serial | 003 |
| Patient Name | Miss SANJANA KUMARI PRASAD | Contact No | 8450841860 |
| Address | 97/J/2 PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||