Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01691 | Date 26/05/2022 |
| Token No | SM/24-25/34142 14/01/2025 | Serial | 005 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 8777218288 |
| Address | 99/C PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||