Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05345 | Date 06/10/2023 |
| Token No | SM/22-23/14000 06/10/2023 | Serial | 005 |
| Patient Name | Mrs. BONNY DAS | Contact No | 9163512344 |
| Address | 55/A/12 WEST JANNAGAR ROAD SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||