Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04491 | Date 12/07/2023 |
| Token No | SM/22-23/10561 15/07/2023 | Serial | 008 |
| Patient Name | Mrs. PRABHA DALAPATI | Contact No | 7890495537 |
| Address | 65/25/50 MAHESH JANNAGAR PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||