Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02577 | Date 26/08/2022 |
| Token No | SM/22-23/2348 26/08/2022 | Serial | 043 |
| Patient Name | Miss ARUSHI KUMARI | Contact No | |
| Address | 107/A PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||