Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02473 | Date 17/08/2022 |
| Token No | SM/22-23/3431 13/10/2022 | Serial | 037 |
| Patient Name | Mrs. PUNAM VERMA | Contact No | 6289310204 |
| Address | 66/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||