Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05635 | Date 10/11/2023 |
| Token No | SM/22-23/15494 14/11/2023 | Serial | 014 |
| Patient Name | Miss SUHANA YASMIN | Contact No | 6290104813 |
| Address | 45 MALLKPARA SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||