Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08114 | Date 28/10/2024 |
| Token No | SM/24-25/30355 30/10/2024 | Serial | 013 |
| Patient Name | Mrs. KUMARI PRABHA | Contact No | 9039418336 |
| Address | 10 OM SKY CITY ROOM NO F07 SERAMPORE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||