Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02422 | Date 10/08/2022 |
| Token No | SM/22-23/1975 11/08/2022 | Serial | 012 |
| Patient Name | Mrs. RUKMANI JHA | Contact No | 7439047548 |
| Address | HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||