Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03185 | Date 18/11/2022 |
| Token No | SM/24-25/27906 09/09/2024 | Serial | 002 |
| Patient Name | Mrs. SADHANA KUMARI YADAV | Contact No | 7278568981 |
| Address | 107/1F GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||