Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03482 | Date 23/12/2022 |
| Token No | SM/22-23/5586 23/12/2022 | Serial | 023 |
| Patient Name | Mrs. BEENA DEVI | Contact No | 9163481546 |
| Address | SERAMPORE | Age | 18 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||