Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05514 | Date 27/10/2023 |
| Token No | SM/22-23/14777 27/10/2023 | Serial | 049 |
| Patient Name | Mrs. TANJILA BIBI | Contact No | 7908664730 |
| Address | KALINAGAR BURDWAN | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||