Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06723 | Date 06/05/2024 |
| Token No | SM/24-25/21582 06/05/2024 | Serial | 005 |
| Patient Name | Mrs. ANJANA KUMARI | Contact No | 9122043230 |
| Address | 9/437/B MJ ROAD SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||