Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04854 | Date 17/08/2023 |
| Token No | SM/22-23/12735 05/09/2023 | Serial | 008 |
| Patient Name | Mrs. PIYALI DEBNATH SARKAR | Contact No | 7407093568 |
| Address | RAJPUTPARA LANE SANTIPUR NADIA 741404 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||