Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04281 | Date 07/06/2023 |
| Token No | SM/22-23/9351 07/06/2023 | Serial | 007 |
| Patient Name | Mrs. PAYEL ACHARYYA | Contact No | 7003886300 |
| Address | 197 NEW MAHESH SERAMPORE M 712203 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||