Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09504 | Date 30/06/2023 |
| Token No | SM/22-23/12301 05/09/2023 | Serial | 033 |
| Patient Name | Mrs. SHRABANI MUKHERJEE | Contact No | 7449894738 |
| Address | 77 J.N. LAHIRI ROAD | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||