Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02889 | Date 14/10/2022 |
| Token No | SM/22-23/3450 14/10/2022 | Serial | 019 |
| Patient Name | Mrs. SAHANAJ BIBI | Contact No | 9330080728 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||