Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08073 | Date 22/10/2024 |
| Token No | SM/24-25/29958 23/10/2024 | Serial | 030 |
| Patient Name | Mrs. PRIYANKA ROUTH | Contact No | 6291018430 |
| Address | 60 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||