Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01224 | Date 18/03/2020 |
| Token No | SM/24-25/24197 02/07/2024 | Serial | 001 |
| Patient Name | Mrs. CHINTA TURIA | Contact No | |
| Address | 214 NEW MAHESH SERAMPORE MALLICKPARA 712203 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||