Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02205 | Date 13/07/2022 |
| Token No | SM/22-23/1266 13/07/2022 | Serial | 020 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 7449675861 |
| Address | 87/D MALLICKPARA LANE SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||