Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01777 | Date 01/06/2022 |
| Token No | SM/22-23/5492 21/12/2022 | Serial | 006 |
| Patient Name | Mrs. SARITA PARASRAMPURIA | Contact No | 6290957255 |
| Address | HARIPARA LANE STANDARD FARMACY SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||