Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05671 | Date 17/11/2023 |
| Token No | SM/22-23/15569 17/11/2023 | Serial | 002 |
| Patient Name | Mrs. MILAN BALA MONDAL | Contact No | 8276089121 |
| Address | 43/32B/2 PROVASNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||