Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08797 | Date 27/02/2025 |
| Token No | SM/24-25/37104 19/03/2025 | Serial | 036 |
| Patient Name | Mrs. RANI DEVI | Contact No | 7890545416 |
| Address | 72 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||