Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10297 | Date 04/09/2023 |
| Token No | SM/22-23/12450 13/09/2023 | Serial | 005 |
| Patient Name | Mrs. FULKURIA KHALKHO | Contact No | 7044339095 |
| Address | SERAMPORE COLLOEGE | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||