Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05853 | Date 13/12/2023 |
| Token No | SM/22-23/19580 08/03/2024 | Serial | 005 |
| Patient Name | Mrs. RATNA RAY | Contact No | 9088556009 |
| Address | 9/433 GURU GARDEN ROAD SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||