Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05365 | Date 09/10/2023 |
| Token No | SM/25-26/55 02/04/2025 | Serial | 026 |
| Patient Name | Mrs. RANI RUPA SHARMA | Contact No | 9831992789 |
| Address | 66/D/32 PROVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||