Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06825 | Date 22/05/2024 |
| Token No | SM/24-25/22188 23/05/2024 | Serial | 012 |
| Patient Name | Mrs. MALA SINGH | Contact No | 9883119833 |
| Address | 97/N/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||