Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06086 | Date 22/01/2024 |
| Token No | SM/22-23/18868 21/02/2024 | Serial | 018 |
| Patient Name | Mrs. CHANDA DEVI PASWAN | Contact No | 7003217140 |
| Address | KHUDIRAM BAGAN GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 150CM cm |
| Diagnosis | |||