Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04762 | Date 09/08/2023 |
| Token No | SM/22-23/11711 11/08/2023 | Serial | 031 |
| Patient Name | Mrs. SWAPNA NAYAK | Contact No | |
| Address | B B GHOSH ROAD SERAMPORE M 712203 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||