Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05969 | Date 29/12/2023 |
| Token No | SM/22-23/17028 29/12/2023 | Serial | 016 |
| Patient Name | Baby KOMAL KUMARI | Contact No | 9330444987 |
| Address | 55 PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||