Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05350 | Date 06/10/2023 |
| Token No | SM/22-23/14053 07/10/2023 | Serial | 008 |
| Patient Name | Baby ANIT SARKAR | Contact No | 7003522401 |
| Address | 40/A PRAVASNAGAR SERAMPORE 712249 | Age | 5 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||