Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02293 | Date 21/07/2022 |
| Token No | SM/22-23/1546 23/07/2022 | Serial | 001 |
| Patient Name | Miss MADHURI TEWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||