Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06297 | Date 17/02/2024 |
| Token No | SM/22-23/18726 19/02/2024 | Serial | 004 |
| Patient Name | Mrs. PALY DUTTA | Contact No | 9330161149 |
| Address | 43/46/C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 160/100 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||