Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04652 | Date 31/07/2023 |
| Token No | SM/22-23/19648 11/03/2024 | Serial | 002 |
| Patient Name | Mrs. KALAVATI DEVI | Contact No | 9903125823 |
| Address | PROVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||