Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01710 | Date 27/05/2022 |
| Token No | SM/22-23/1954 10/08/2022 | Serial | 052 |
| Patient Name | Mrs. RITA TIWARI | Contact No | 9163178707 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||