Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02195 | Date 12/07/2022 |
| Token No | SM/22-23/1246 12/07/2022 | Serial | 008 |
| Patient Name | Mrs. CHANDRABATI KUMARI | Contact No | |
| Address | SUKANTAPALLI, SERAMPORE | Age | 52 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||