Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03378 | Date 12/12/2022 |
| Token No | SM/22-23/5200 12/12/2022 | Serial | 011 |
| Patient Name | Mrs. BIMAL YADAV | Contact No | 8777689781 |
| Address | SUBHASNAGAR HOUSEING COMPLEX SERAMPORE | Age | 26 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||