Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06184 | Date 05/02/2024 |
| Token No | SM/24-25/21083 24/04/2024 | Serial | 011 |
| Patient Name | Mrs. NEHA HARI SHAW | Contact No | 8481049854 |
| Address | 207 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||