Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05513 | Date 09/03/2022 |
| Token No | SM/21-22/2420 14/03/2022 | Serial | 022 |
| Patient Name | Mrs. SANA PARVEEN | Contact No | 8420827541 |
| Address | 27 DR.NANILAL BHATTACHARJEE STREET | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||