Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03817 | Date 23/02/2023 |
| Token No | SM/22-23/7000 23/02/2023 | Serial | 001 |
| Patient Name | Mrs. SUPIYA BEGAM | Contact No | 7995907961 |
| Address | 94/A MALLIKPARA LANE SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||