Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01935 | Date 17/06/2022 |
| Token No | SM/22-23/9350 07/06/2023 | Serial | 006 |
| Patient Name | Mrs. NISHU PANDEY | Contact No | 8777239800 |
| Address | 182 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||