Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09655 | Date 28/07/2025 |
| Token No | SM/25-26/5518 29/07/2025 | Serial | 016 |
| Patient Name | Mr. HARISHCHANDRA JOSHI | Contact No | 6291836919 |
| Address | 87 NEW MAHESH SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||