Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04685 | Date 02/08/2023 |
| Token No | SM/22-23/11229 02/08/2023 | Serial | 012 |
| Patient Name | Mrs. SHRILEKHA KUMARI | Contact No | 7044139437 |
| Address | D2 303 SUBHASNAGAR HOUSING COMPLEX PRAVASNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||