Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08246 | Date 03/02/2023 |
| Token No | SM/22-23/10991 18/07/2023 | Serial | 025 |
| Patient Name | Mrs. MANJU KUNDU | Contact No | 9874554838 |
| Address | 2/1 K C BHATTACHARJEE STREET | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||