Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08799 | Date 27/02/2025 |
| Token No | SM/24-25/36192 28/02/2025 | Serial | 003 |
| Patient Name | Mrs. BINDESHWARI DEVI | Contact No | 7003169785 |
| Address | 97/F/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||