Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00103 | Date 13/09/2019 |
| Token No | SM/22-23/7347 09/03/2023 | Serial | 001 |
| Patient Name | Mrs. ARIDA BEGUM | Contact No | 7602445937 |
| Address | 7 NO TARAPUKUR LANE,MALLICKPARA 712203 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||