Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03981 | Date 25/03/2023 |
| Token No | SM/22-23/7799 25/03/2023 | Serial | 003 |
| Patient Name | Mrs. PARINITA DAS | Contact No | 8927380520 |
| Address | 110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||