Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07817 | Date 04/09/2024 |
| Token No | SM/25-26/8708 07/10/2025 | Serial | 004 |
| Patient Name | Mrs. MANJU SINGH | Contact No | 9073547974 |
| Address | 49/0/3/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||