Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01582 | Date 07/07/2020 |
| Token No | SM/22-23/6115 16/01/2023 | Serial | 006 |
| Patient Name | Mrs. KIRAN GUPTA | Contact No | 8918002515 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||