Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02303 | Date 25/07/2022 |
| Token No | SM/22-23/5021 06/12/2022 | Serial | 019 |
| Patient Name | Mrs. SUMITRA MONDAL | Contact No | 9874487181 |
| Address | 10/U HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 65 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||