Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07828 | Date 04/09/2024 |
| Token No | SM/24-25/27741 05/09/2024 | Serial | 025 |
| Patient Name | Mrs. ARATI DEVI | Contact No | 8820103019 |
| Address | 43/20/A G G ROAD SERAMPORE M 712249 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||