Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08056 | Date 29/12/2022 |
| Token No | SM/22-23/10312 17/06/2023 | Serial | 008 |
| Patient Name | Mrs. KALYANI DEY | Contact No | 8583031592 |
| Address | KALITALA, JANNAGAR ROAD | Age | 62YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||