Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10666 | Date 11/10/2023 |
| Token No | SM/22-23/13015 11/10/2023 | Serial | 013 |
| Patient Name | Mrs. SOMA GHOSH | Contact No | 9831106087 |
| Address | 39/A SASHI BHUSAN BHATTACHARYA LANE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||