Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08185 | Date 11/11/2024 |
| Token No | SM/24-25/30934 12/11/2024 | Serial | 006 |
| Patient Name | Mrs. NEETU DEVI | Contact No | 7395923167 |
| Address | 66/B PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||