Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06043 | Date 10/01/2024 |
| Token No | SM/22-23/17358 10/01/2024 | Serial | 003 |
| Patient Name | Mrs. NIKITA KUMARI | Contact No | 6290919176 |
| Address | ROAD NO 7 NEAR SHIV MANDIR PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||