Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03313 | Date 05/12/2022 |
| Token No | SM/22-23/4955 05/12/2022 | Serial | 009 |
| Patient Name | Mrs. SANDYA BHUIYA | Contact No | 7439256497 |
| Address | HARIJAN BASTI B.B GHOSH ROAD SERAMPORE 712203 | Age | 19 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||