Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02737 | Date 21/09/2022 |
| Token No | SM/22-23/2950 23/09/2022 | Serial | 014 |
| Patient Name | Mrs. BABITA KEWATI | Contact No | 7980567643 |
| Address | 97/R PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||