Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04804 | Date 11/08/2023 |
| Token No | SM/22-23/11754 12/08/2023 | Serial | 005 |
| Patient Name | Mrs. SABINA KHATUN | Contact No | 7980878388 |
| Address | 33 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||