Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03776 | Date 16/02/2023 |
| Token No | SM/22-23/19633 09/03/2024 | Serial | 024 |
| Patient Name | Mrs. MAYA SINGH | Contact No | 7488300841 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||