Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03183 | Date 18/11/2022 |
| Token No | SM/22-23/4534 18/11/2022 | Serial | 027 |
| Patient Name | Mrs. SHRABANI DEY | Contact No | 9804597702 |
| Address | 65/21/1/1 PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||