Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08075 | Date 22/10/2024 |
| Token No | SM/24-25/29959 23/10/2024 | Serial | 031 |
| Patient Name | Mrs. SHEETAL GUPTA | Contact No | 9663135324 |
| Address | BLOCK C2 FLAT101 161/G M T ROAD SERAMPORE M 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||