Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09889 | Date 04/09/2025 |
| Token No | SM/25-26/7515 05/09/2025 | Serial | 005 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 6289991647 |
| Address | 152 NEW MAHESH SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||