Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05571 | Date 03/11/2023 |
| Token No | SM/22-23/15168 06/11/2023 | Serial | 009 |
| Patient Name | Mrs. SALIMA BIBI | Contact No | 9163876602 |
| Address | 33 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||