Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01628 | Date 23/05/2022 |
| Token No | SM/22-23/10718 20/07/2023 | Serial | 009 |
| Patient Name | Mrs. ANITA SHAW | Contact No | 9748043985 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||