Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 05441 | Date 17/02/2022 |
| Token No | SM/21-22/2227 21/02/2022 | Serial | 031 |
| Patient Name | Mrs. SHYAMALI MUKHERJEE | Contact No | 7998340774 |
| Address | 328 G T ROAD, MAHESH | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||