Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04931 | Date 24/08/2023 |
| Token No | SM/22-23/12265 24/08/2023 | Serial | 020 |
| Patient Name | Mrs. SARIFA BEGAM | Contact No | 6289256409 |
| Address | 13 BARIN GHOSH LANE CHATRA KUMAR PARA SERAMPORE | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||