Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05291 | Date 29/09/2023 |
| Token No | SM/22-23/13735 29/09/2023 | Serial | 032 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 9088138577 |
| Address | 9/1/A/70 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||