Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07034 | Date 18/06/2024 |
| Token No | SM/24-25/26368 09/08/2024 | Serial | 068 |
| Patient Name | Mrs. BHARATI SHARMA | Contact No | 9875648010 |
| Address | 161/F MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||