Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01921 | Date 13/06/2022 |
| Token No | SM/22-23/9347 07/06/2023 | Serial | 003 |
| Patient Name | Mrs. SIPRA DEY | Contact No | 8100408788 |
| Address | 35/B B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||