Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05881 | Date 16/12/2023 |
| Token No | SM/22-23/17058 30/12/2023 | Serial | 010 |
| Patient Name | Mrs. GITA DEVI | Contact No | 7654246219 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||