Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04743 | Date 08/08/2023 |
| Token No | SM/22-23/11482 08/08/2023 | Serial | 003 |
| Patient Name | Mrs. SUNITA PASWAN | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||