Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06433 | Date 15/03/2024 |
| Token No | SM/22-23/19859 15/03/2024 | Serial | 006 |
| Patient Name | Mrs. MANISHA KUMARI | Contact No | 9330157789 |
| Address | 43/2//A/2 PRAVASNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||