Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03708 | Date 03/02/2023 |
| Token No | SM/22-23/6529 03/02/2023 | Serial | 007 |
| Patient Name | Mrs. USHA SHARMA | Contact No | 8697654505 |
| Address | 66/D/32 GURUGARDEN ROAD SERAMPORE 712249 | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||