Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10607 | Date 30/09/2023 |
| Token No | SM/22-23/12871 30/09/2023 | Serial | 006 |
| Patient Name | Mrs. MADHURITA BAGCHI | Contact No | 9903863548 |
| Address | 2A/ 4 ASHUTOSH CHATTERJEE LANE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||