Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07700 | Date 20/08/2024 |
| Token No | SM/24-25/27555 03/09/2024 | Serial | 007 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 8420379977 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||