Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00863 | Date 04/02/2020 |
| Token No | SM/22-23/15249 07/11/2023 | Serial | 023 |
| Patient Name | Mrs. MAMTA KUMARI | Contact No | 7439313461 |
| Address | 49/G/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||