Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00858 | Date 04/02/2020 |
| Token No | SM/19-20/2029 06/02/2020 | Serial | 002 |
| Patient Name | Mrs. MAMTA PASWAN | Contact No | 7439141137 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||