Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04847 | Date 17/08/2023 |
| Token No | SM/22-23/12452 28/08/2023 | Serial | 054 |
| Patient Name | Mrs. RUPA | Contact No | 8017360685 |
| Address | 83 MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||