Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05701 | Date 22/11/2023 |
| Token No | SM/22-23/15743 23/11/2023 | Serial | 025 |
| Patient Name | Mrs. MOSOMAT SUNDARI | Contact No | 8583026709 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||