Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03021 | Date 02/11/2022 |
| Token No | SM/22-23/4075 04/11/2022 | Serial | 039 |
| Patient Name | Mrs. ANARA BIBI | Contact No | 7595907810 |
| Address | 26A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 50 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||