Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04777 | Date 10/08/2023 |
| Token No | SM/22-23/11629 10/08/2023 | Serial | 019 |
| Patient Name | Mrs. NAJEMA BIBI | Contact No | 7059224785 |
| Address | 20,KUMOR PARA LANE CHATRA SERAMPORE | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||