Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04084 | Date 25/04/2023 |
| Token No | SM/22-23/8375 25/04/2023 | Serial | 001 |
| Patient Name | Mrs. SWETA SINGH | Contact No | 7439862038 |
| Address | 82C GURUGARDEN ROAD SERAMPORE 712249 | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||