Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05151 | Date 15/09/2023 |
| Token No | SM/22-23/13138 15/09/2023 | Serial | 015 |
| Patient Name | Mrs. RITTIKA SINGH | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA LANE SERAMPORE | Age | 12 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||