Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04626 | Date 26/07/2023 |
| Token No | SM/22-23/11265 03/08/2023 | Serial | 006 |
| Patient Name | Mrs. PUJA SINHA | Contact No | 6291183906 |
| Address | 97/N/8/0PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||