Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04409 | Date 01/07/2023 |
| Token No | SM/22-23/10060 03/07/2023 | Serial | 003 |
| Patient Name | Mrs. SONIYA DEBI | Contact No | 8276091284 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||