Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04922 | Date 23/08/2023 |
| Token No | SM/22-23/12256 24/08/2023 | Serial | 011 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 8777382505 |
| Address | 214 NEW MAHESH SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||