Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10863 | Date 04/12/2023 |
| Token No | SM/22-23/13580 06/12/2023 | Serial | 006 |
| Patient Name | Mrs. ANURADHA PAL | Contact No | 9123947324 |
| Address | 2/B KAILASH CHATTERJEE LANE | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||