Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05468 | Date 22/02/2022 |
| Token No | SM/22-23/11758 19/08/2023 | Serial | 001 |
| Patient Name | Mrs. KALPANA BHATTACHARJEE | Contact No | 9874391085 |
| Address | 117 G T ROAD, MANIKTALA | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||