Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04179 | Date 15/05/2023 |
| Token No | SM/22-23/17205 04/01/2024 | Serial | 038 |
| Patient Name | Mrs. SONI KUMARI | Contact No | 7688026993 |
| Address | 65/19/9 M J ROAD PRABASHNAGA SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||