Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02617 | Date 05/09/2022 |
| Token No | SM/22-23/2946 23/09/2022 | Serial | 010 |
| Patient Name | Mrs. MAYA RUIDAS | Contact No | 8981430551 |
| Address | 10/A DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 49 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||