Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05148 | Date 15/09/2023 |
| Token No | SM/22-23/13135 15/09/2023 | Serial | 012 |
| Patient Name | Mrs. NANDINI SINGH | Contact No | 7449932965 |
| Address | 55 LLB SARANI SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||