Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01151 | Date 11/03/2020 |
| Token No | SM/19-20/3063 13/03/2020 | Serial | 041 |
| Patient Name | Mrs. SADHANA DAS | Contact No | 8697462636 |
| Address | 22/24/22 F D ROAD SERAMPORE 712203 | Age | 65 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||