Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04623 | Date 26/07/2023 |
| Token No | SM/22-23/11027 27/07/2023 | Serial | 011 |
| Patient Name | Mrs. HALIMA BEGAM | Contact No | 9007464986 |
| Address | 86 MALLICKPARA LANE SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||