Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05505 | Date 26/10/2023 |
| Token No | SM/22-23/14728 26/10/2023 | Serial | 007 |
| Patient Name | Mrs. ANITA DEVI CHAUHAN | Contact No | |
| Address | 97/N/2/A PROVASNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||