Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01609 | Date 20/05/2022 |
| Token No | SM/22-23/586 15/06/2022 | Serial | 029 |
| Patient Name | Mrs. JYOTI DEVI | Contact No | 6200277071 |
| Address | FL 210 SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||