Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00537 | Date 11/12/2019 |
| Token No | SM/22-23/1129 06/07/2022 | Serial | 020 |
| Patient Name | Mrs. NAMITA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||