Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05597 | Date 29/03/2022 |
| Token No | SM/22-23/3321 09/06/2022 | Serial | 035 |
| Patient Name | Mrs. LABANYA PRADHAN | Contact No | 8017111768 |
| Address | 44 DR. NANILAL BHATTACHARJEE STREET | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||