Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02702 | Date 14/09/2022 |
| Token No | SM/22-23/3421 13/10/2022 | Serial | 027 |
| Patient Name | Mrs. RANITA HALDER | Contact No | |
| Address | SERAMPORE | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||