Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03053 | Date 04/11/2022 |
| Token No | SM/22-23/13175 16/09/2023 | Serial | 025 |
| Patient Name | Miss ALISHA MAHATO | Contact No | 9330865081 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||