Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10497 | Date 25/09/2023 |
| Token No | SM/22-23/12709 26/09/2023 | Serial | 025 |
| Patient Name | Mrs. MAYA BISWAS | Contact No | 7595858788 |
| Address | 38B BHAGIRATHI LANE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||