Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09528 | Date 03/07/2023 |
| Token No | SM/22-23/10577 03/07/2023 | Serial | 047 |
| Patient Name | Mrs. KATYAYANI HAZRA | Contact No | 8942900246 |
| Address | SERAMPORE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||