Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00742 | Date 17/01/2020 |
| Token No | SM/22-23/6572 06/02/2023 | Serial | 002 |
| Patient Name | Mrs. BABY SHAW | Contact No | 8420206872 |
| Address | PROVASNAGER SERAMPORE | Age | 46 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||