Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02654 | Date 07/09/2022 |
| Token No | SM/22-23/2563 07/09/2022 | Serial | 034 |
| Patient Name | Mrs. LAXMI SINGH | Contact No | 8013303782 |
| Address | PROVASNAGAE SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||