Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02419 | Date 08/08/2022 |
| Token No | SM/22-23/1902 08/08/2022 | Serial | 030 |
| Patient Name | Mrs. MUNNI KHATUN | Contact No | 9832654123 |
| Address | MALLIKPARA SERAMPORE M 712203 | Age | 18 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||