Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02133 | Date 04/07/2022 |
| Token No | SM/22-23/1127 06/07/2022 | Serial | 018 |
| Patient Name | Mrs. SANTA DUTTA | Contact No | 8013688068 |
| Address | 43/8 PRABASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||