Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01524 | Date 29/04/2020 |
| Token No | SM/22-23/13537 26/09/2023 | Serial | 004 |
| Patient Name | Mrs. GOURI SHUILI | Contact No | 8981540617 |
| Address | 3G D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||