Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02929 | Date 18/10/2022 |
| Token No | SM/22-23/5674 27/12/2022 | Serial | 032 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | |
| Address | KATAPOLE NEWMAHESH SERAMPORE 712249 | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||