Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02739 | Date 21/09/2022 |
| Token No | SM/22-23/2905 21/09/2022 | Serial | 025 |
| Patient Name | Mrs. ANANYA SRIVASTAVA | Contact No | 9748036975 |
| Address | 1 NO HARIPARA LANE SERAMPORE 712203 | Age | 7 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||