Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02503 | Date 22/08/2022 |
| Token No | SM/22-23/2764 15/09/2022 | Serial | 010 |
| Patient Name | Mrs. BARNALI MUKHERJEE | Contact No | 8274009985 |
| Address | BIBIRBER GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 49 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||