Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03233 | Date 23/11/2022 |
| Token No | SM/22-23/4735 25/11/2022 | Serial | 022 |
| Patient Name | Mrs. RENU DEVI | Contact No | 8017570577 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||