Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02279 | Date 20/07/2022 |
| Token No | SM/22-23/5444 19/12/2022 | Serial | 038 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 6291856031 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||