Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00808 | Date 27/01/2020 |
| Token No | SM/22-23/6113 16/01/2023 | Serial | 004 |
| Patient Name | Mrs. KOHINUR BIBI | Contact No | 9831663114 |
| Address | 51/F/7 TARAPUKUR SERAMPORE 712203 | Age | 45 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||