Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02969 | Date 21/10/2022 |
| Token No | SM/22-23/6636 08/02/2023 | Serial | 003 |
| Patient Name | Mr. KHUSBOO THAKUR | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 27 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||