Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03687 | Date 01/02/2023 |
| Token No | SM/22-23/6531 03/02/2023 | Serial | 009 |
| Patient Name | Mrs. BINDU KOSTA | Contact No | |
| Address | SERAMPORE | Age | 52 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||