Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 06312 | Date 19/02/2024 |
| Token No | SM/22-23/18794 19/02/2024 | Serial | 072 |
| Patient Name | Mrs. CHAITALI BOSE | Contact No | 9635213584 |
| Address | GANGULY BAGAN SERAMPORE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||