Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08704 | Date 05/04/2023 |
| Token No | SM/24-25/21000 17/02/2025 | Serial | 020 |
| Patient Name | Mrs. RIYA PASWAN | Contact No | 7003876072 |
| Address | 17 PACHUBAZAR, SERAMPORE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||