Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03944 | Date 16/03/2023 |
| Token No | SM/22-23/7584 16/03/2023 | Serial | 009 |
| Patient Name | Mrs. RENU DEVI | Contact No | 6287888090 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||