Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06692 | Date 03/05/2024 |
| Token No | SM/24-25/21468 03/05/2024 | Serial | 063 |
| Patient Name | Mrs. CHANDRAWATI BARMA | Contact No | 8296230305 |
| Address | 97/H/4/A PROVASNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||