Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03595 | Date 10/01/2023 |
| Token No | SM/22-23/9153 29/05/2023 | Serial | 004 |
| Patient Name | Mrs. JYOTI KUMARI | Contact No | 9748974643 |
| Address | 9/1/A/30 M.J ROAD SERAMPORE 712249 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||