Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01871 | Date 10/06/2022 |
| Token No | SM/22-23/2341 26/08/2022 | Serial | 036 |
| Patient Name | Mrs. SUNITA MAHATO | Contact No | 8274034586 |
| Address | 10/L HARIPARA LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||