Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04248 | Date 29/05/2023 |
| Token No | SM/22-23/9202 30/05/2023 | Serial | 021 |
| Patient Name | Mrs. MINU KUMARI | Contact No | 6207973900 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||