Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04536 | Date 19/07/2023 |
| Token No | SM/22-23/10670 19/07/2023 | Serial | 007 |
| Patient Name | Mrs. BABITA PANDEY | Contact No | 9851292347 |
| Address | 161 MAHESH JANNAGAR ROAD PROVASNAGAR SERAMPORE M 712249 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||