Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04244 | Date 29/05/2023 |
| Token No | SM/22-23/9156 29/05/2023 | Serial | 007 |
| Patient Name | Mrs. KABERA BEGAM | Contact No | 9330832280 |
| Address | 9 MIYAJAN DARJEE LANE SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||