Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02107 | Date 30/06/2022 |
| Token No | SM/22-23/1086 04/07/2022 | Serial | 053 |
| Patient Name | Mrs. ARPITA SENGUPTA | Contact No | 9748545177 |
| Address | VIVEKANANDA SARANI BAIDYABATI M MALLICKPARA 712203 | Age | 37 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||