Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01391 | Date 11/04/2020 |
| Token No | SM/22-23/6264 25/01/2023 | Serial | 004 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7890752710 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||