Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08035 | Date 27/12/2022 |
| Token No | SM/22-23/7239 28/12/2022 | Serial | 036 |
| Patient Name | Mrs. PRIYANKA SAHA | Contact No | 6289278988 |
| Address | 3 NO COLONY SERAMPORE | Age | 18 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||