Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03144 | Date 14/11/2022 |
| Token No | SM/22-23/4653 23/11/2022 | Serial | 010 |
| Patient Name | Mrs. KUMKUM SAHA | Contact No | 6290192677 |
| Address | 16/I SITAL SARKAR LANE SERAMPORE 712202 | Age | 36 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||