Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03391 | Date 14/12/2022 |
| Token No | SM/22-23/5871 03/01/2023 | Serial | 004 |
| Patient Name | Mrs. ANITA MANDAL | Contact No | 8777245610 |
| Address | 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||