Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01895 | Date 11/06/2022 |
| Token No | SM/22-23/495 11/06/2022 | Serial | 004 |
| Patient Name | Mrs. TAHAMINA BIBI | Contact No | 8100564474 |
| Address | BARO KHEJURIYA HOOGHLY CHINSURAH M 712121 | Age | 36 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||