Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01744 | Date 30/05/2022 |
| Token No | SM/22-23/4073 04/11/2022 | Serial | 037 |
| Patient Name | Mrs. KAKALI DAS | Contact No | 9163777647 |
| Address | DINEN BHATTACHARYA SARANI SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||