Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02710 | Date 16/09/2022 |
| Token No | SM/22-23/2787 16/09/2022 | Serial | 006 |
| Patient Name | Miss SEEMA KUMARI PRASAD | Contact No | 6289691115 |
| Address | 9/439 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||