Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02764 | Date 23/09/2022 |
| Token No | SM/22-23/15811 25/11/2023 | Serial | 005 |
| Patient Name | Mrs. RINA PAL | Contact No | 7890955054 |
| Address | 43/46/G PROVASNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||