Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04742 | Date 07/08/2023 |
| Token No | SM/22-23/11495 08/08/2023 | Serial | 016 |
| Patient Name | Mrs. VINDHYA BASINI | Contact No | 7685001786 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||