Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05576 | Date 04/11/2023 |
| Token No | SM/22-23/15161 06/11/2023 | Serial | 002 |
| Patient Name | Mrs. NANDITA MANDAL | Contact No | 8296368063 |
| Address | 28/E PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||