Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04671 | Date 03/08/2021 |
| Token No | SM/22-23/11540 10/08/2023 | Serial | 021 |
| Patient Name | Mrs. RUPALI KUNDU | Contact No | 9432134117 |
| Address | SERAMPORE COLLEGE | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||