Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01691 | Date 26/05/2022 |
| Token No | SM/22-23/138 26/05/2022 | Serial | 002 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 8777218288 |
| Address | 99/C PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||