Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02246 | Date 18/07/2022 |
| Token No | SM/22-23/1541 22/07/2022 | Serial | 008 |
| Patient Name | Mrs. ASIMA MONDAL | Contact No | 6289369353 |
| Address | 10/M HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||