Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02541 | Date 24/08/2022 |
| Token No | SM/22-23/2275 25/08/2022 | Serial | 007 |
| Patient Name | Mrs. JULI DEBI | Contact No | 8582909596 |
| Address | 97/U/2 PRABASHNAGAR SERAMPORE 712249 | Age | 44 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||