Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03908 | Date 11/03/2023 |
| Token No | SM/22-23/7439 11/03/2023 | Serial | 001 |
| Patient Name | Mrs. ANJALI DAS | Contact No | 6290222090 |
| Address | 66/B/1 GURUGARDEN ROAD SERAMPORE 712249 | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||