Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08005 | Date 08/10/2024 |
| Token No | SM/24-25/32751 14/12/2024 | Serial | 005 |
| Patient Name | Mrs. PUNAM RAJAK | Contact No | 8017120390 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||