Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02146 | Date 05/07/2022 |
| Token No | SM/22-23/3617 19/10/2022 | Serial | 011 |
| Patient Name | Mrs. NISHA SHAW | Contact No | 9062764820 |
| Address | 73 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||