Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06431 | Date 14/03/2024 |
| Token No | SM/22-23/19896 16/03/2024 | Serial | 015 |
| Patient Name | Mrs. RANI DEVI | Contact No | 7450811993 |
| Address | 68 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||