Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03713 | Date 03/02/2023 |
| Token No | SM/22-23/9291 03/06/2023 | Serial | 010 |
| Patient Name | Mrs. PRITI DEVI SINGH | Contact No | 8525900618 |
| Address | 97/11/6 PROVASNAGAR SERAMPORE M 712249 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||