Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05712 | Date 23/11/2023 |
| Token No | SM/22-23/15809 25/11/2023 | Serial | 003 |
| Patient Name | Mrs. JAFIRA BIBI | Contact No | 6291009456 |
| Address | 10 MAHATMA GANDHI ROAD ROYGHAT SERAMPORE M 712201 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||