Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02727 | Date 19/09/2022 |
| Token No | SM/22-23/5777 30/12/2022 | Serial | 009 |
| Patient Name | Mrs. PRATIMA PAL | Contact No | 9007115173 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712249 | Age | 55 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||