Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02123 | Date 04/07/2022 |
| Token No | SM/22-23/1106 05/07/2022 | Serial | 011 |
| Patient Name | Mrs. PALLAVI PARASRAMPURIA | Contact No | 7439913065 |
| Address | STANDERD FACTORY SERAMPORE 712203 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||