Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05683 | Date 18/11/2023 |
| Token No | SM/22-23/15609 18/11/2023 | Serial | 001 |
| Patient Name | Mrs. KRISHNA BRAMA | Contact No | 7980301852 |
| Address | SERAMPORE 712201 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||