Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02167 | Date 06/07/2022 |
| Token No | SM/22-23/6179 20/01/2023 | Serial | 002 |
| Patient Name | Mrs. RUMA BEGUM | Contact No | 8777276942 |
| Address | 7 CHAKAPARA TARAPUKUR LANE SERAMPORE 712203 | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||