Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05095 | Date 09/09/2023 |
| Token No | SM/24-25/31361 19/11/2024 | Serial | 003 |
| Patient Name | Mrs. KANCHAN DEVI | Contact No | 8574705391 |
| Address | 81/B PRABASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||