Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02398 | Date 05/08/2022 |
| Token No | SM/22-23/1861 05/08/2022 | Serial | 004 |
| Patient Name | Mrs. GOURI PRASAD | Contact No | 9830568113 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 38 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||