Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05606 | Date 07/11/2023 |
| Token No | SM/22-23/15239 07/11/2023 | Serial | 013 |
| Patient Name | Mrs. PRIYANKA SAHANI | Contact No | 9163248514 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||