Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08188 | Date 31/01/2023 |
| Token No | SM/22-23/10748 08/07/2023 | Serial | 011 |
| Patient Name | Mrs. PINKI SANYAL | Contact No | 8981539713 |
| Address | 41 K D B LANE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||