Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03180 | Date 18/11/2022 |
| Token No | SM/24-25/22616 01/06/2024 | Serial | 037 |
| Patient Name | Mrs. DURGA DEVI | Contact No | 7439377186 |
| Address | 101 PRABASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||