Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12134 | Date 23/09/2024 |
| Token No | SM/24-25/21456 24/03/2025 | Serial | 015 |
| Patient Name | Mrs. RAJWANTI KUMARI PRASAD | Contact No | NOT GIVEN |
| Address | SERAMPORE | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||