Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06452 | Date 20/03/2024 |
| Token No | SM/22-23/20007 20/03/2024 | Serial | 004 |
| Patient Name | Mrs. KAJAL UPADHYAY | Contact No | 8887866784 |
| Address | 67 GURUGARDEN ROAD SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||