Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02050 | Date 24/06/2022 |
| Token No | SM/22-23/865 25/06/2022 | Serial | 014 |
| Patient Name | Mrs. SHANTI DEBI | Contact No | 9007224015 |
| Address | PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 42 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||