Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06448 | Date 19/03/2024 |
| Token No | SM/22-23/20005 20/03/2024 | Serial | 002 |
| Patient Name | Mrs. ANJALI KUMARI | Contact No | 9748974643 |
| Address | 9/1/A/30 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||