Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05596 | Date 29/03/2022 |
| Token No | SM/22-23/2690 11/04/2022 | Serial | 001 |
| Patient Name | Mrs. TANUSHREE CHATTOPADHYAY | Contact No | 8478818678 |
| Address | 502B G T ROAD | Age | 46 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||