Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06763 | Date 13/05/2024 |
| Token No | SM/24-25/21912 14/05/2024 | Serial | 014 |
| Patient Name | Mrs. SANTA BISHNU | Contact No | 8777400122 |
| Address | 20/C PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||