Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05064 | Date 05/09/2023 |
| Token No | SM/22-23/12745 05/09/2023 | Serial | 018 |
| Patient Name | Mrs. RUNU MUKHERJEE | Contact No | 9163556098 |
| Address | 4 CHATRA BAJAR ROAD | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||