Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06048 | Date 11/01/2024 |
| Token No | SM/24-25/21981 16/05/2024 | Serial | 012 |
| Patient Name | Mrs. RUPA DEVI | Contact No | 7003490472 |
| Address | 68 GURUGARDEN ROAD SERAMPORE M 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||