Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06587 | Date 19/04/2024 |
| Token No | SM/24-25/20868 19/04/2024 | Serial | 004 |
| Patient Name | Mrs. BINDU SINGH | Contact No | 9123352168 |
| Address | 66/E/21,GURUGARDEN ROAD SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||