Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02297 | Date 25/07/2022 |
| Token No | SM/22-23/7557 15/03/2023 | Serial | 004 |
| Patient Name | Mrs. RAJANI PANDEY | Contact No | 9007936366 |
| Address | 65/25/1 PRAVASNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||