Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02470 | Date 17/08/2022 |
| Token No | SM/22-23/2726 14/09/2022 | Serial | 018 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 9831467620 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||