Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05328 | Date 20/01/2022 |
| Token No | SM/21-22/2212 21/02/2022 | Serial | 016 |
| Patient Name | Mrs. RAMA DEBI. | Contact No | 7980998075 |
| Address | TIN BAZAR, SERAMPORE | Age | 65 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||