Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05707 | Date 23/11/2023 |
| Token No | SM/22-23/15727 23/11/2023 | Serial | 009 |
| Patient Name | Baby SHREYA JAISWAL | Contact No | 8583949400 |
| Address | AMALNAGAR CHINSURAH MAGRA 712504 | Age | 1 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||