Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01799 | Date 01/06/2022 |
| Token No | SM/22-23/1865 05/08/2022 | Serial | 008 |
| Patient Name | Mrs. MANISHA GIRI | Contact No | 8902701357 |
| Address | 266 NEW MAHESH SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||