Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02027 | Date 23/06/2022 |
| Token No | SM/22-23/859 25/06/2022 | Serial | 008 |
| Patient Name | Mrs. REKHA DEY | Contact No | 6290016743 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 57 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||