Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05783 | Date 02/12/2023 |
| Token No | SM/22-23/16111 04/12/2023 | Serial | 001 |
| Patient Name | Mrs. NANDINI DEVI | Contact No | 6290252188 |
| Address | 56 ROYLAND ROAD SERAMPORE 712201 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||