Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03414 | Date 15/12/2022 |
| Token No | SM/22-23/5366 16/12/2022 | Serial | 002 |
| Patient Name | Mrs. BARSHA SINGH | Contact No | 8777026414 |
| Address | 48/18/1 PRABASHNAGAR SERAMPORE 712249 | Age | 18 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||