Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04297 | Date 10/06/2023 |
| Token No | SM/22-23/9434 10/06/2023 | Serial | 003 |
| Patient Name | Mrs. ISHA SINGH | Contact No | 7003131906 |
| Address | 66/E/13 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE M 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||