Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05892 | Date 18/12/2023 |
| Token No | SM/22-23/16662 19/12/2023 | Serial | 005 |
| Patient Name | Mrs. TUMPA MONDAL | Contact No | 9062174051 |
| Address | 60/A PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||