Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02071 | Date 27/06/2022 |
| Token No | SM/22-23/967 29/06/2022 | Serial | 017 |
| Patient Name | Mrs. SWAPNA BEGUM | Contact No | 6291811825 |
| Address | 24/B TARAPUKUR LANE SERAMPORE 712203 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||