Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02321 | Date 27/07/2022 |
| Token No | SM/22-23/1686 29/07/2022 | Serial | 012 |
| Patient Name | Mrs. ANKITA PAL | Contact No | 8777346749 |
| Address | 172 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||