Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04338 | Date 16/06/2023 |
| Token No | SM/22-23/9637 16/06/2023 | Serial | 004 |
| Patient Name | Mrs. ANU PANDEY | Contact No | 9123600509 |
| Address | 55/A/31 M.J ROAD PROVASNAGAR SERAMPORE M 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||