Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06290 | Date 16/02/2024 |
| Token No | SM/24-25/32050 30/11/2024 | Serial | 009 |
| Patient Name | Mrs. ANJALI DEVI | Contact No | 8481010412 |
| Address | 97/K/3 PRAVASNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||