Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01864 | Date 10/06/2022 |
| Token No | SM/22-23/1241 12/07/2022 | Serial | 003 |
| Patient Name | Mrs. MADHURI MONDAL | Contact No | 9775896586 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||