Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08099 | Date 26/10/2024 |
| Token No | SM/24-25/30272 28/10/2024 | Serial | 091 |
| Patient Name | Mrs. MANABHAWATI DEVI | Contact No | 6289953911 |
| Address | 68 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||