Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09812 | Date 31/07/2023 |
| Token No | SM/22-23/14335 18/01/2024 | Serial | 007 |
| Patient Name | Mrs. DIPALI DAS.. | Contact No | 8820760253 |
| Address | 16 A KAILASH CHATTERJEE LANE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||