Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09130 | Date 21/04/2025 |
| Token No | SM/25-26/990 22/04/2025 | Serial | 005 |
| Patient Name | Mrs. PUJA MISTRI | Contact No | 6290998216 |
| Address | 66C/2 PRAVASHNAGAR GURUGARDEN ROADSERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||