Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02522 | Date 22/08/2022 |
| Token No | SM/22-23/2244 24/08/2022 | Serial | 016 |
| Patient Name | Mrs. MINA DEVI | Contact No | 8910816626 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||