Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02837 | Date 19/08/2019 |
| Token No | SM/18-19/5807 21/08/2019 | Serial | 024 |
| Patient Name | Mrs. TAPASI BHATTACHRJEE | Contact No | 9007789650 |
| Address | 30 T C GOSWAMI STREET | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||