Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01052 | Date 24/02/2020 |
| Token No | SM/19-20/2586 25/02/2020 | Serial | 028 |
| Patient Name | Mrs. USHA DEBNATH | Contact No | 8697613470 |
| Address | 8/A/2/4/1 PRABASHNAGAR SERAMPORE 712249 | Age | 79 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||