Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06210 | Date 08/02/2024 |
| Token No | SM/24-25/22240 24/05/2024 | Serial | 011 |
| Patient Name | Mrs. NANDINI DAS | Contact No | 6290904789 |
| Address | 43/27/5/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||