Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02280 | Date 20/07/2022 |
| Token No | SM/22-23/1607 27/07/2022 | Serial | 015 |
| Patient Name | Mrs. PROMILA DAS | Contact No | 8100055357 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 33 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||