Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07638 | Date 10/08/2024 |
| Token No | SM/24-25/31161 15/11/2024 | Serial | 004 |
| Patient Name | Mrs. ANJALI PRASAD | Contact No | 8820308088 |
| Address | 75 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||