Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08176 | Date 09/11/2024 |
| Token No | SM/25-26/7219 01/09/2025 | Serial | 037 |
| Patient Name | Mrs. KIRAN DEVI | Contact No | 7890662613 |
| Address | 97/N/8/C PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||