Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03464 | Date 21/12/2022 |
| Token No | SM/22-23/5520 21/12/2022 | Serial | 034 |
| Patient Name | Mrs. TUKTUKI DAS | Contact No | 8101683119 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||