Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00525 | Date 09/12/2019 |
| Token No | SM/22-23/2947 23/09/2022 | Serial | 011 |
| Patient Name | Mrs. SUSHILA DEBI | Contact No | 9088798598 |
| Address | 97/G DHOBIA PARA PRAVASHNAGAR SERAMPORE M 712249 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||