Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10583 | Date 29/09/2023 |
| Token No | SM/22-23/13079 28/10/2023 | Serial | 002 |
| Patient Name | Mrs. LILY BISWAS | Contact No | |
| Address | SERAMPORE COLLEGE | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||