Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06741 | Date 09/05/2024 |
| Token No | SM/24-25/21678 09/05/2024 | Serial | 002 |
| Patient Name | Mrs. PRIYANKA JHA | Contact No | 9163418296 |
| Address | 9/1/A/35 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||