Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04920 | Date 23/08/2023 |
| Token No | SM/22-23/15683 22/11/2023 | Serial | 007 |
| Patient Name | Mrs. PRAVA DEVI SHAW | Contact No | 6289200127 |
| Address | PRAVASNAGAR SERAMPORE M 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||