Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01790 | Date 01/06/2022 |
| Token No | SM/22-23/6116 16/01/2023 | Serial | 007 |
| Patient Name | Mrs. KAMALA DEBNATH | Contact No | 7439662667 |
| Address | 15/E DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 62 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||