Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01662 | Date 25/05/2022 |
| Token No | SM/22-23/3500 17/10/2022 | Serial | 002 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 9432063846 |
| Address | 9 NO MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||