Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02296 | Date 22/07/2022 |
| Token No | SM/22-23/1543 22/07/2022 | Serial | 010 |
| Patient Name | Mrs. MINA DEVI SHAW | Contact No | 9903425973 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||