Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02404 | Date 06/08/2022 |
| Token No | SM/22-23/1871 06/08/2022 | Serial | 006 |
| Patient Name | Mrs. BHAGIRATHI DEVI | Contact No | |
| Address | SATGHARA SERAMPORE 712203 | Age | 40 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||