Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04725 | Date 05/08/2023 |
| Token No | SM/24-25/21963 15/05/2024 | Serial | 022 |
| Patient Name | Mrs. PAPIYA DAS | Contact No | 8388967251 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||