Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03556 | Date 03/01/2023 |
| Token No | SM/22-23/5880 03/01/2023 | Serial | 013 |
| Patient Name | Mrs. CHANDA DEVI SHAW | Contact No | 9774945637 |
| Address | 96/A PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||