Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08233 | Date 20/11/2024 |
| Token No | SM/24-25/31518 21/11/2024 | Serial | 009 |
| Patient Name | Mrs. USHA DEBI | Contact No | 9883620934 |
| Address | 74 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||