Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06522 | Date 03/04/2024 |
| Token No | SM/24-25/20465 03/04/2024 | Serial | 017 |
| Patient Name | Mrs. MANORAMA DEVI GUPTA | Contact No | 6289703239 |
| Address | 27 PRAVASNAGAR SERAMPORE M 712249 | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||