Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07717 | Date 18/11/2022 |
| Token No | SM/22-23/11200 25/07/2023 | Serial | 030 |
| Patient Name | Mrs. PAPIYA BANERJEE | Contact No | 9330677634 |
| Address | 105 J.N. LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||