Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06205 | Date 08/02/2024 |
| Token No | SM/24-25/27622 04/09/2024 | Serial | 005 |
| Patient Name | Mrs. BACHI DEVI RAJBANSHI | Contact No | 9748258089 |
| Address | 66/B GURU GARDEN ROAD PRABASNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/50 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||