Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05038 | Date 02/09/2023 |
| Token No | SM/22-23/12621 02/09/2023 | Serial | 004 |
| Patient Name | Mrs. MINOTI MUKHERJEE | Contact No | 7687922694 |
| Address | RISHRA HOOGHLY | Age | 85 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||