Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02697 | Date 14/09/2022 |
| Token No | SM/22-23/2762 15/09/2022 | Serial | 008 |
| Patient Name | Mrs. SIPRA CHATTARAJ | Contact No | 9674437280 |
| Address | 31/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 43 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||