Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02610 | Date 02/09/2022 |
| Token No | SM/25-26/8766 08/10/2025 | Serial | 018 |
| Patient Name | Mrs. NITU SINGH | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||