Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01155 | Date 11/03/2020 |
| Token No | SM/22-23/4179 09/11/2022 | Serial | 014 |
| Patient Name | Mrs. SOVA DAS GHOSH | Contact No | 6289888502 |
| Address | 65/22/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||