Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04266 | Date 01/06/2023 |
| Token No | SM/22-23/9238 01/06/2023 | Serial | 022 |
| Patient Name | Mrs. VIBHA KUMARI | Contact No | 7980071188 |
| Address | 97/P/16 GURU GARDEN ROAD SERAMPORE M 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||