Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05897 | Date 19/12/2023 |
| Token No | SM/22-23/16666 19/12/2023 | Serial | 009 |
| Patient Name | Mrs. PITU DHOLE | Contact No | 6290819765 |
| Address | SOCIETY MATH PROVASNAGAR SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||