Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02070 | Date 27/06/2022 |
| Token No | SM/22-23/1380 18/07/2022 | Serial | 003 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 6289369353 |
| Address | 10 HARIPARA LANE SERAMPORE MALLICKPARA 712203 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||