Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09268 | Date 08/06/2023 |
| Token No | SM/22-23/10087 09/06/2023 | Serial | 027 |
| Patient Name | Mrs. SARASWATI KUNDU... | Contact No | NOT GIVEN |
| Address | 24A KHASBAGAN LANE.. | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||