Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03644 | Date 24/01/2023 |
| Token No | SM/22-23/6259 24/01/2023 | Serial | 028 |
| Patient Name | Mr. ROHIT SHIULI | Contact No | |
| Address | D CRUZE GARDEN SERAMPORE 712203 | Age | 10 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||