Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10714 | Date 01/11/2023 |
| Token No | SM/22-23/13138 01/11/2023 | Serial | 025 |
| Patient Name | Mrs. KAKALI CHATTERJEE | Contact No | 8583024946 |
| Address | 32/A PANCHANAN TALA LANE | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||