Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04614 | Date 26/07/2023 |
| Token No | SM/22-23/10973 26/07/2023 | Serial | 017 |
| Patient Name | Mrs. NIGAR SULTANA | Contact No | 9883048139 |
| Address | 31/A CHATRA MUSALMANPARA SERAMPORE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||