Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03382 | Date 12/12/2022 |
| Token No | SM/22-23/5303 14/12/2022 | Serial | 049 |
| Patient Name | Mrs. BABY SIKDAR | Contact No | 9330409653 |
| Address | 38E B B GHOSH ROAD SERAMPORE M 712203 | Age | 57 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||