Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02668 | Date 09/09/2022 |
| Token No | SM/22-23/14779 27/10/2023 | Serial | 051 |
| Patient Name | Mrs. SOHANA KHATUN | Contact No | 6290180770 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||