Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02594 | Date 24/07/2019 |
| Token No | SM/18-19/5134 26/07/2019 | Serial | 013 |
| Patient Name | Mrs. LIPIKA MUKHERJEE.. | Contact No | 9593532726 |
| Address | TARAKESWAR | Age | 45 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||