Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10226 | Date 31/08/2023 |
| Token No | SM/22-23/12249 04/09/2023 | Serial | 033 |
| Patient Name | Mrs. PRITHA GHOSH | Contact No | 6290391765 |
| Address | 8 PANDIT K.L. BHATTACHARYA STREET | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||