Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07933 | Date 23/09/2024 |
| Token No | SM/24-25/28655 24/09/2024 | Serial | 005 |
| Patient Name | Mrs. PINKI KUMARI | Contact No | 8017750895 |
| Address | 9/434 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||