Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02360 | Date 01/08/2022 |
| Token No | SM/22-23/1803 02/08/2022 | Serial | 019 |
| Patient Name | Mrs. SABITA DEY | Contact No | 9051334684 |
| Address | 31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||