Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03066 | Date 07/11/2022 |
| Token No | SM/22-23/5949 05/01/2023 | Serial | 006 |
| Patient Name | Mrs. KHUSBU PRASAD | Contact No | 9330848076 |
| Address | 101 PRAVASNAGAR SERAMPORE 712249 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||