Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05734 | Date 25/11/2023 |
| Token No | SM/22-23/15871 28/11/2023 | Serial | 008 |
| Patient Name | Mrs. MAMTA MONDAL | Contact No | |
| Address | PROVASNAGAR SERAMPORE | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||