Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04507 | Date 14/07/2023 |
| Token No | SM/22-23/10521 14/07/2023 | Serial | 013 |
| Patient Name | Mrs. ITU DAS | Contact No | 7718182384 |
| Address | BERUGRAM SADIPUR BERUGRAM BARDDHAMAN | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||