Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03043 | Date 03/11/2022 |
| Token No | SM/22-23/4076 04/11/2022 | Serial | 040 |
| Patient Name | Miss SWEETY SHAW | Contact No | 9288454993 |
| Address | 164 NEW MAHESH SERAMPORE 712203 | Age | 17 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||