Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01767 | Date 30/05/2022 |
| Token No | SM/22-23/866 25/06/2022 | Serial | 015 |
| Patient Name | Mrs. SOMARI DEBI | Contact No | 6207006113 |
| Address | PANCHU BAZAR SERAMPORE | Age | 64 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||