Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01896 | Date 11/06/2022 |
| Token No | SM/22-23/2529 06/09/2022 | Serial | 028 |
| Patient Name | Mrs. MALATI SINGH | Contact No | 7595837603 |
| Address | 198 NEW MAHESH SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||