Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02030 | Date 24/06/2022 |
| Token No | SM/22-23/855 25/06/2022 | Serial | 004 |
| Patient Name | Mrs. UMA DAS | Contact No | 9909559601 |
| Address | 244 MAHESH COLONY SERAMPORE HOOGHLY 712202 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||