Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 01795 | Date 01/06/2022 |
| Token No | SM/22-23/378 06/06/2022 | Serial | 006 |
| Patient Name | Mrs. RUPALI DAS | Contact No | 9836562318 |
| Address | 253 MAHESH COLONY MAHESH 1 SERAMPORE 712202 | Age | 50 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||