Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10822 | Date 25/11/2023 |
| Token No | SM/22-23/13502 03/12/2023 | Serial | 001 |
| Patient Name | Mrs. KAKALI KOLEY | Contact No | 7605829475 |
| Address | 39 SASHI BHUSAN GHOSH LANE | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||