Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06618 | Date 24/04/2024 |
| Token No | SM/24-25/21085 24/04/2024 | Serial | 013 |
| Patient Name | Mrs. RAMAVATI DEVI | Contact No | 7033969304 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||