Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02407 | Date 08/08/2022 |
| Token No | SM/22-23/1905 10/08/2022 | Serial | 003 |
| Patient Name | Mrs. PUJA BERMA | Contact No | 8981239759 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||