Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06015 | Date 07/06/2022 |
| Token No | SM/22-23/3316 09/06/2022 | Serial | 030 |
| Patient Name | Mrs. KAJAL HARIJAN | Contact No | 6290071171 |
| Address | SERAMPORE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||