Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01713 | Date 27/05/2022 |
| Token No | SM/22-23/3336 11/10/2022 | Serial | 005 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 8582907004 |
| Address | 97/N/9 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||