Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03699 | Date 02/02/2023 |
| Token No | SM/22-23/6485 02/02/2023 | Serial | 008 |
| Patient Name | Mrs. NITU SINGH | Contact No | 9804177651 |
| Address | 185 B.B GHOSH ROAD SERAMPORE 712249 | Age | 37 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||