Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03047 | Date 03/11/2022 |
| Token No | SM/22-23/4072 04/11/2022 | Serial | 036 |
| Patient Name | Mrs. RENU KUMARI RAM | Contact No | 6290434173 |
| Address | 49 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||