Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06043 | Date 09/06/2022 |
| Token No | SM/22-23/3345 10/06/2022 | Serial | 023 |
| Patient Name | Mrs. MOUSUMI DUTTA BISWAS | Contact No | 9643127350 |
| Address | 537B G.T ROAD | Age | 42 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||