Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10870 | Date 04/12/2023 |
| Token No | SM/22-23/13550 04/12/2023 | Serial | 048 |
| Patient Name | Mrs. BARSHA DAS | Contact No | 9051275633 |
| Address | MAHESH COLONY,SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||