Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02538 | Date 24/08/2022 |
| Token No | SM/22-23/6392 31/01/2023 | Serial | 003 |
| Patient Name | Mrs. LAXMI PASWAN | Contact No | 9831330545 |
| Address | 9/434 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||