Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10673 | Date 16/10/2023 |
| Token No | SM/22-23/13038 16/10/2023 | Serial | 005 |
| Patient Name | Miss AISHIKA SARKAR | Contact No | 7439811493 |
| Address | 17 NO KAILASH CHATTERJEE LANE | Age | 5 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||