Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05205 | Date 21/09/2023 |
| Token No | SM/22-23/13374 21/09/2023 | Serial | 058 |
| Patient Name | Mrs. KRISHNA DEVI | Contact No | 8481903950 |
| Address | 43/32/B/1 PROVASNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||