Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01576 | Date 06/07/2020 |
| Token No | SM/19-20/4105 06/07/2020 | Serial | 004 |
| Patient Name | Mrs. SWETA NANDY | Contact No | 9810220580 |
| Address | B/103/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||