Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03252 | Date 25/11/2022 |
| Token No | SM/22-23/4729 25/11/2022 | Serial | 016 |
| Patient Name | Mrs. PRAVA ADHIKARY | Contact No | 7699205214 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||