Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10536 | Date 26/09/2023 |
| Token No | SM/22-23/12769 27/09/2023 | Serial | 039 |
| Patient Name | Miss RUMPI DEY | Contact No | 9123042035 |
| Address | 27 JANNAGAR ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||