Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02536 | Date 24/08/2022 |
| Token No | SM/22-23/5926 04/01/2023 | Serial | 018 |
| Patient Name | Mrs. USHA DEVI | Contact No | 9903200158 |
| Address | 89/Y TARAPUKUR LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||