Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00353 | Date 08/11/2019 |
| Token No | SM/24-25/27980 09/09/2024 | Serial | 076 |
| Patient Name | Mrs. RUMA DAS | Contact No | 8755754590 |
| Address | 70/J PATUA PARA LANE SERAMPORE 712201 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||