Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05472 | Date 18/10/2023 |
| Token No | SM/22-23/14600 19/10/2023 | Serial | 020 |
| Patient Name | Mrs. SONI SINGH | Contact No | 7449822716 |
| Address | 99/B PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||