Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02887 | Date 14/10/2022 |
| Token No | SM/22-23/3448 14/10/2022 | Serial | 017 |
| Patient Name | Mrs. PRITI SINGH | Contact No | 8478065461 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||