Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07118 | Date 23/09/2022 |
| Token No | SM/22-23/14894 21/02/2024 | Serial | 063 |
| Patient Name | Mrs. BASANTI CHOWDHURY | Contact No | 8583846954 |
| Address | 15 L B S ROAD | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||