Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05479 | Date 19/10/2023 |
| Token No | SM/24-25/34246 17/01/2025 | Serial | 004 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 9804848523 |
| Address | 87/1/R GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||