Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04689 | Date 03/08/2023 |
| Token No | SM/22-23/11260 03/08/2023 | Serial | 001 |
| Patient Name | Mrs. MANDHYA KUMARI | Contact No | 8420093563 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||