Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08317 | Date 29/11/2024 |
| Token No | SM/24-25/31993 29/11/2024 | Serial | 007 |
| Patient Name | Mrs. INDU DEVI | Contact No | 9748974643 |
| Address | 9/1/A/30 MJ ROAD SERAMPORE PRAVASNAGAR 712249 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||