Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02269 | Date 18/07/2022 |
| Token No | SM/22-23/3300 10/10/2022 | Serial | 011 |
| Patient Name | Mrs. PUSHPA RAY | Contact No | 7980473941 |
| Address | 111A MALLICKPARA SERAMPORE 712203 | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||