Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06296 | Date 17/02/2024 |
| Token No | SM/22-23/18703 17/02/2024 | Serial | 026 |
| Patient Name | Mrs. GAYETRI MUKHERJEE | Contact No | 8777644071 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||