Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02604 | Date 25/07/2019 |
| Token No | SM/18-19/5267 30/07/2019 | Serial | 032 |
| Patient Name | Miss SUSMITA DAS | Contact No | 8017954570 |
| Address | MAHESH, SERAMPORE | Age | 21 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||