Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04739 | Date 07/08/2023 |
| Token No | SM/22-23/11468 07/08/2023 | Serial | 036 |
| Patient Name | Mrs. MINATI PAL | Contact No | 8017727099 |
| Address | 54 A CHATRA DUTTA PARA | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||