Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08618 | Date 29/01/2025 |
| Token No | SM/24-25/34797 29/01/2025 | Serial | 026 |
| Patient Name | Mrs. LAL PATORI DEVI | Contact No | 8528900618 |
| Address | 97/H/6 PRAVASNAGAR SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||