Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02397 | Date 05/08/2022 |
| Token No | SM/22-23/6610 07/02/2023 | Serial | 003 |
| Patient Name | Miss PRIYANKA PRASAD | Contact No | 9830568113 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||