Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04435 | Date 05/07/2023 |
| Token No | SM/22-23/10196 05/07/2023 | Serial | 015 |
| Patient Name | Mrs. ANSU SINGH | Contact No | 8697317419 |
| Address | 72/A/1/A PROBHASNAGAR SERAMPORE M 712249 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||