Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03072 | Date 07/11/2022 |
| Token No | SM/22-23/4299 11/11/2022 | Serial | 012 |
| Patient Name | Mrs. MOUMITA BHATTACHARJEE NANDI | Contact No | 9163044668 |
| Address | 2 LENIN SARANI MALLICKPARA SERAMPORE 712203 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||