Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04633 | Date 27/07/2023 |
| Token No | SM/22-23/11042 27/07/2023 | Serial | 026 |
| Patient Name | Mrs. YASMEEN | Contact No | 7042990744 |
| Address | BURO BIBI BAZAR SERAMPORE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||