Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05779 | Date 02/12/2023 |
| Token No | SM/22-23/16056 02/12/2023 | Serial | 002 |
| Patient Name | Mrs. MADHABI DAS | Contact No | 7044949934 |
| Address | 43/6 PRAVASNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||