Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01718 | Date 27/05/2022 |
| Token No | SM/22-23/14006 06/10/2023 | Serial | 011 |
| Patient Name | Mrs. SUBHADRA GUPTA | Contact No | 9007271910 |
| Address | 77 PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||