Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02928 | Date 18/10/2022 |
| Token No | SM/22-23/5948 05/01/2023 | Serial | 005 |
| Patient Name | Mrs. SIBRAN SHAW | Contact No | 9088711499 |
| Address | 136 NEW MAHESH SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||