Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08672 | Date 05/02/2025 |
| Token No | SM/24-25/35233 06/02/2025 | Serial | 042 |
| Patient Name | Mrs. BABEETA KUMARI | Contact No | 9804848523 |
| Address | 87/1/R GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||