Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01676 | Date 25/05/2022 |
| Token No | SM/22-23/857 25/06/2022 | Serial | 006 |
| Patient Name | Mrs. MITHU BHAR | Contact No | 9748258825 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 36 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||