Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08789 | Date 24/02/2025 |
| Token No | SM/24-25/36196 28/02/2025 | Serial | 007 |
| Patient Name | Mrs. NEHA PANDEY | Contact No | 7481978793 |
| Address | B-7 ROOM NO 404 SUBASHNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||