Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05029 | Date 01/09/2023 |
| Token No | SM/22-23/19216 29/02/2024 | Serial | 025 |
| Patient Name | Mrs. BHARTI SHAW | Contact No | 9163957613 |
| Address | 97/2 PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||