Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02899 | Date 15/10/2022 |
| Token No | SM/22-23/7629 17/03/2023 | Serial | 016 |
| Patient Name | Mrs. GUDDI KUMARI | Contact No | 7003133166 |
| Address | 47/F PRABASHNAGAR SERAMPORE 712249 | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||