Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05433 | Date 16/10/2023 |
| Token No | SM/22-23/14402 16/10/2023 | Serial | 009 |
| Patient Name | Miss NIDHI PRASAD | Contact No | 8777056679 |
| Address | 99/C PRAVASNAGAR SERAMPORE M 712249 | Age | 14 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||