Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02300 | Date 18/06/2019 |
| Token No | SM/21-22/2266 24/02/2022 | Serial | 014 |
| Patient Name | Mrs. SIMA KUNDU | Contact No | 9432134117 |
| Address | SERAMPORE COLLEGE | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||