Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06610 | Date 04/08/2022 |
| Token No | SM/22-23/4462 10/08/2022 | Serial | 047 |
| Patient Name | Mrs. DOLY MUKHERJEE | Contact No | 8100823800 |
| Address | 97 THAKUR BATI STREET | Age | 50 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||