Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02287 | Date 20/07/2022 |
| Token No | SM/22-23/1538 22/07/2022 | Serial | 005 |
| Patient Name | Mrs. RAJKALI DEBI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 80 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||