Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07552 | Date 31/07/2024 |
| Token No | SM/24-25/25853 01/08/2024 | Serial | 004 |
| Patient Name | Mrs. MRIDULA OJHA | Contact No | 9883779130 |
| Address | FL NO 108 BL A/10 SUBASHNAGAR HOUSING PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||