Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02578 | Date 26/08/2022 |
| Token No | SM/22-23/14588 19/10/2023 | Serial | 008 |
| Patient Name | Mrs. MANISHA DEVI | Contact No | 7449685870 |
| Address | 97/Z PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||