Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10951 | Date 13/12/2023 |
| Token No | SM/22-23/13805 14/12/2023 | Serial | 036 |
| Patient Name | Mrs. SHRABANTI MONDAL | Contact No | 9831561525 |
| Address | 39B SASHI BHUSHAN GHOSH LANE | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||