Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04472 | Date 10/07/2023 |
| Token No | SM/22-23/13947 05/10/2023 | Serial | 010 |
| Patient Name | Mrs. ARCHANA SHAW | Contact No | 9088544624 |
| Address | 65/7/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||