Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06143 | Date 18/06/2022 |
| Token No | SM/22-23/3534 21/06/2022 | Serial | 027 |
| Patient Name | Mrs. ANJALI BOSE SARKAR | Contact No | 9046257641 |
| Address | 2B M.G.ROAD | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||