Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08052 | Date 19/10/2024 |
| Token No | SM/25-26/9588 28/10/2025 | Serial | 005 |
| Patient Name | Mrs. NEHA SAROJ PATWA | Contact No | 7003836149 |
| Address | 48/9A PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||