Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05588 | Date 06/11/2023 |
| Token No | SM/22-23/15175 06/11/2023 | Serial | 016 |
| Patient Name | Mrs. NANDINI KUMARI SONI | Contact No | 8910336399 |
| Address | SERAMPORE PROVASNAGAR 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||