Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04112 | Date 28/04/2023 |
| Token No | SM/22-23/8472 28/04/2023 | Serial | 004 |
| Patient Name | Mrs. DURGA DEVI | Contact No | 9341926863 |
| Address | 97/P /13 PROVASNAGAR SERAMPORE 712249 | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||