Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04924 | Date 23/08/2023 |
| Token No | SM/22-23/12247 24/08/2023 | Serial | 002 |
| Patient Name | Mrs. PUJA DEVI | Contact No | 8292098600 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/72 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||