Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09783 | Date 26/07/2023 |
| Token No | SM/22-23/11359 03/08/2023 | Serial | 023 |
| Patient Name | Mrs. PUJA DEVI | Contact No | 7688015875 |
| Address | 22/A K.M. BHATTACHARJEE STREET | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||