Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05133 | Date 13/09/2023 |
| Token No | SM/22-23/13056 13/09/2023 | Serial | 006 |
| Patient Name | Mrs. SANGITA KOSTA | Contact No | 7044724645 |
| Address | 13/17 B.B GHOSH ROAD SERAMPORE M 712249 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||