Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06565 | Date 15/04/2024 |
| Token No | SM/24-25/20711 15/04/2024 | Serial | 003 |
| Patient Name | Mrs. RUKHASANA KHATUN | Contact No | 7980727448 |
| Address | 26/A MD LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||