Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04161 | Date 11/05/2023 |
| Token No | SM/22-23/8802 13/05/2023 | Serial | 009 |
| Patient Name | Mrs. SUNITA MANDAL | Contact No | 8910979885 |
| Address | 10/A PRAVASNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||