Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02644 | Date 07/09/2022 |
| Token No | SM/22-23/2590 08/09/2022 | Serial | 012 |
| Patient Name | Mrs. ANJALI DEVI | Contact No | 9088454993 |
| Address | 164 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||