Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05695 | Date 18/04/2022 |
| Token No | SM/22-23/12457 13/09/2023 | Serial | 012 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 7980106660 |
| Address | 3/5A MAHESH COLONY SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||