Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03991 | Date 28/03/2023 |
| Token No | SM/22-23/8582 04/05/2023 | Serial | 002 |
| Patient Name | Mrs. JHUMUR SIULY | Contact No | 9062908890 |
| Address | 5 TARAPUKUR LANE SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||