Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07544 | Date 07/11/2022 |
| Token No | SM/24-25/19764 18/11/2024 | Serial | 005 |
| Patient Name | Mrs. SANDHYA SHAW | Contact No | 9088153632 |
| Address | 45 PANCHU GOPAL BHADURI SARANI | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||