Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00374 | Date 14/11/2019 |
| Token No | SM/22-23/8411 26/04/2023 | Serial | 004 |
| Patient Name | Mrs. RAMA BANERJEE | Contact No | 9163007121 |
| Address | 29/A MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||