Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02248 | Date 18/07/2022 |
| Token No | SM/22-23/5683 28/12/2022 | Serial | 001 |
| Patient Name | Mrs. INDU RAI | Contact No | 7044133107 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 56 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||