Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04499 | Date 13/07/2023 |
| Token No | SM/22-23/10485 13/07/2023 | Serial | 024 |
| Patient Name | Mrs. KAVITA GOND | Contact No | 9883672619 |
| Address | 107/B PRAVASHNAGAR SERAMPORE M 712249 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||