Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06580 | Date 01/08/2022 |
| Token No | SM/22-23/4349 04/08/2022 | Serial | 063 |
| Patient Name | Mrs. SWAPNA SEN DAS | Contact No | NOT GIVEN |
| Address | SERAMPORE,SIRISHTALA | Age | 38 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||