Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05200 | Date 21/09/2023 |
| Token No | SM/22-23/13368 21/09/2023 | Serial | 052 |
| Patient Name | Mrs. BIVA PRASAD | Contact No | 9363425330 |
| Address | 9/438 PROVASNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||