Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06666 | Date 30/04/2024 |
| Token No | SM/24-25/21403 02/05/2024 | Serial | 005 |
| Patient Name | Mrs. SANDHYA SHAW | Contact No | 943345565 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||