Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06679 | Date 02/05/2024 |
| Token No | SM/24-25/21402 02/05/2024 | Serial | 004 |
| Patient Name | Mrs. MAMANI KHATUN | Contact No | 7439303291 |
| Address | 28/B MD LANE SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||