Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07972 | Date 01/10/2024 |
| Token No | SM/24-25/28974 01/10/2024 | Serial | 004 |
| Patient Name | Mrs. RESHMA BIBI | Contact No | 8919680088 |
| Address | 93/D M.D LANE SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||