Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02474 | Date 17/08/2022 |
| Token No | SM/22-23/16271 09/12/2023 | Serial | 004 |
| Patient Name | Mrs. SUNITA SHAW | Contact No | 8013415847 |
| Address | 49/0/3/3 PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||