Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01707 | Date 27/05/2022 |
| Token No | SM/22-23/4529 18/11/2022 | Serial | 022 |
| Patient Name | Mrs. BABITA DEBI | Contact No | 7439725716 |
| Address | 97/Z PRABASHNAGAR SERAMPORE 712249 | Age | 33 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||