Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03735 | Date 09/02/2023 |
| Token No | SM/22-23/9968 30/06/2023 | Serial | 008 |
| Patient Name | Mrs. ANSARI BEGUM | Contact No | 9063913341 |
| Address | 9 NO MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||