Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03207 | Date 21/11/2022 |
| Token No | SM/22-23/4601 21/11/2022 | Serial | 009 |
| Patient Name | Mrs. RINKU KUMARI | Contact No | 8584094203 |
| Address | 101 GURUGARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||