Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08325 | Date 10/02/2023 |
| Token No | SM/22-23/10670 05/07/2023 | Serial | 045 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 9830586694 |
| Address | KALITALA SERAMPORE | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||