Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08223 | Date 18/11/2024 |
| Token No | SM/24-25/31364 19/11/2024 | Serial | 006 |
| Patient Name | Mrs. SANJU GUPTA | Contact No | 9903581680 |
| Address | 66E/13 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||