Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02601 | Date 01/09/2022 |
| Token No | SM/22-23/2406 01/09/2022 | Serial | 012 |
| Patient Name | Mrs. SUMAN PRAJAPATI | Contact No | 8240831012 |
| Address | 97/P/18 PROVASNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||