Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01336 | Date 02/04/2020 |
| Token No | SM/25-26/3131 06/06/2025 | Serial | 004 |
| Patient Name | Mrs. RAMPARI SHAH | Contact No | 9062932108 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||