Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04050 | Date 13/04/2023 |
| Token No | SM/22-23/8187 13/04/2023 | Serial | 004 |
| Patient Name | Mrs. SONAM OJHA | Contact No | 9835452056 |
| Address | A/8/206 PRABASHNAGAR SERAMPORE 712249 | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||