Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04382 | Date 30/06/2023 |
| Token No | SM/22-23/9966 30/06/2023 | Serial | 006 |
| Patient Name | Mrs. INDRANI MITRA | Contact No | 8585874830 |
| Address | 9 AK DUTTA SARANI | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||