Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04326 | Date 14/06/2023 |
| Token No | SM/22-23/13643 27/09/2023 | Serial | 050 |
| Patient Name | Mrs. SHREYASHI CHATTERJEE | Contact No | 7980134012 |
| Address | 14/B S C GHOSH LANE SERAMPORE 712202 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||