Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04935 | Date 24/08/2023 |
| Token No | SM/22-23/12274 24/08/2023 | Serial | 029 |
| Patient Name | Mrs. MAHAMAYA GHOSH | Contact No | 9088868366 |
| Address | BAIDYABATI BOSE PARA | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||