Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02389 | Date 03/08/2022 |
| Token No | SM/22-23/1827 03/08/2022 | Serial | 020 |
| Patient Name | Mrs. PIYANKA TIWARI | Contact No | |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||