Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05935 | Date 26/12/2023 |
| Token No | SM/22-23/17658 20/01/2024 | Serial | 009 |
| Patient Name | Mrs. ARATI SHAW | Contact No | 9693445611 |
| Address | 49/N/1 PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||