Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10686 | Date 30/10/2023 |
| Token No | SM/22-23/13094 30/10/2023 | Serial | 010 |
| Patient Name | Miss SOUMILI BHATTACHARJEE | Contact No | 9830790228 |
| Address | 16/D/3 D.B. CHATTERJEE LANE | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||