Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06186 | Date 05/02/2024 |
| Token No | SM/22-23/18230 06/02/2024 | Serial | 009 |
| Patient Name | Mrs. DIPA RANI GOPE | Contact No | 7439247606 |
| Address | 49/D/2 PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||