Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03594 | Date 09/01/2023 |
| Token No | SM/22-23/6036 10/01/2023 | Serial | 002 |
| Patient Name | Miss SWAYATRI BERA | Contact No | 8697009533 |
| Address | 3/D D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 8 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||