Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02865 | Date 12/10/2022 |
| Token No | SM/22-23/3363 12/10/2022 | Serial | 014 |
| Patient Name | Mrs. SARASVATI DEVI | Contact No | 9831702729 |
| Address | PROBHASNAGAR SERAMPORE 712249 | Age | 61 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||