Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08554 | Date 15/03/2023 |
| Token No | SM/22-23/8350 16/03/2023 | Serial | 022 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 7980296541 |
| Address | 80 G T ROAD WEST SERAMPORE | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||