Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09261 | Date 07/06/2023 |
| Token No | SM/22-23/10041 08/06/2023 | Serial | 001 |
| Patient Name | Mrs. BINDI BARIK | Contact No | 9038660080 |
| Address | SERAMPORE COLLEGE | Age | 73 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||