Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02308 | Date 27/07/2022 |
| Token No | SM/22-23/3906 01/11/2022 | Serial | 003 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9874550060 |
| Address | 65/A/11 GURU GARDEN ROAD PROVASAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||