Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04524 | Date 17/07/2023 |
| Token No | SM/22-23/10624 18/07/2023 | Serial | 009 |
| Patient Name | Mrs. SHARMILA SINGH | Contact No | 7752869207 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||