Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08117 | Date 28/10/2024 |
| Token No | SM/24-25/30283 29/10/2024 | Serial | 004 |
| Patient Name | Mrs. SARIKA RAM | Contact No | 8335045023 |
| Address | 43/19/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||