Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02488 | Date 18/08/2022 |
| Token No | SM/22-23/2215 22/08/2022 | Serial | 069 |
| Patient Name | Mrs. SAHIDUN BIBI | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 42 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||