Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03925 | Date 13/03/2023 |
| Token No | SM/22-23/7534 14/03/2023 | Serial | 018 |
| Patient Name | Mrs. PRATIMA SINGH | Contact No | 7890752715 |
| Address | 100/B SERAMPORE PRABASHNAGAR 712249 | Age | 50 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||