Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04569 | Date 22/07/2023 |
| Token No | SM/22-23/10825 22/07/2023 | Serial | 037 |
| Patient Name | Mrs. MANISHA DAS | Contact No | 7003284026 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||