Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02253 | Date 18/07/2022 |
| Token No | SM/22-23/12251 24/08/2023 | Serial | 006 |
| Patient Name | Mrs. DEEPALI BHUIYA | Contact No | 7044150586 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||