Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04885 | Date 21/08/2023 |
| Token No | SM/22-23/12079 21/08/2023 | Serial | 015 |
| Patient Name | Mrs. CHANDRA KUMARI | Contact No | 6291039577 |
| Address | MALLIKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||