Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 08311 | Date 28/11/2024 |
| Token No | SM/25-26/5722 02/08/2025 | Serial | 036 |
| Patient Name | Mrs. G PARBATI | Contact No | 8420766296 |
| Address | 6/15 BAISHNAB PARA 1ST LANE SERAMPORE 712202 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||