Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06488 | Date 26/07/2022 |
| Token No | SM/22-23/4134 27/07/2022 | Serial | 036 |
| Patient Name | Mrs. KAKALI CHATTERJEE | Contact No | 7003948390 |
| Address | 2 GOPAL GANGULY LANE | Age | 46 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||