Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04805 | Date 12/08/2023 |
| Token No | SM/22-23/11755 12/08/2023 | Serial | 006 |
| Patient Name | Mrs. RINA DEB | Contact No | 9748254543 |
| Address | 43/46/L PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||