Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02405 | Date 06/08/2022 |
| Token No | SM/22-23/1872 06/08/2022 | Serial | 007 |
| Patient Name | Mrs. SANCHAYITA CHOWDHURY | Contact No | 9007827677 |
| Address | TARAPUKUR LANE MALLICKPARA 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||