Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02701 | Date 14/09/2022 |
| Token No | SM/22-23/5536 22/12/2022 | Serial | 005 |
| Patient Name | Mrs. SEEMA DEVI | Contact No | 6290986993 |
| Address | 60/C PRABHASNAGAR SERAMPORE 712249 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||