Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00132 | Date 16/09/2019 |
| Token No | SM/22-23/6046 11/01/2023 | Serial | 005 |
| Patient Name | Mrs. ANITA DEBI | Contact No | 8017049459 |
| Address | A/A/97 PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||