Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01874 | Date 10/06/2022 |
| Token No | SM/22-23/9229 01/06/2023 | Serial | 013 |
| Patient Name | Mrs. MONIKA SARKAR | Contact No | 8777868648 |
| Address | 24/A F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||