Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04812 | Date 12/08/2023 |
| Token No | SM/22-23/11769 12/08/2023 | Serial | 020 |
| Patient Name | Mrs. ANUSHA POREL | Contact No | 7686075527 |
| Address | 40 DEY BAGAN LANE SERAMPORE M | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||