Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07982 | Date 19/12/2022 |
| Token No | SM/22-23/14415 25/01/2024 | Serial | 013 |
| Patient Name | Mrs. MOUSUMI BOSE | Contact No | |
| Address | Age | 50 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||