Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02493 | Date 20/08/2022 |
| Token No | SM/22-23/5944 05/01/2023 | Serial | 001 |
| Patient Name | Mrs. RUBI PRASAD SHAW | Contact No | 7439161779 |
| Address | 97/H/8 PRABASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||