Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06201 | Date 07/02/2024 |
| Token No | SM/24-25/28265 17/09/2024 | Serial | 002 |
| Patient Name | Mrs. SIMA SHAW | Contact No | 9875654457 |
| Address | 266 NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||