Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07499 | Date 03/11/2022 |
| Token No | SM/22-23/6034 04/11/2022 | Serial | 031 |
| Patient Name | Miss NIDHI GUPTA | Contact No | 9051913572 |
| Address | 1 A B MUKHERJEE LANE | Age | 21 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||