Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03935 | Date 15/03/2023 |
| Token No | SM/22-23/7556 15/03/2023 | Serial | 003 |
| Patient Name | Mrs. SOHANA PARVEEN | Contact No | 7439669979 |
| Address | 31/C MIYAJAN DARJEE LANE SERAMPORE 712203 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||