Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04340 | Date 16/06/2023 |
| Token No | SM/22-23/9646 16/06/2023 | Serial | 013 |
| Patient Name | Mrs. SANJIDA KHATUN | Contact No | 8101797695 |
| Address | 74 MALLICKPARA LANE SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||