Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06471 | Date 25/07/2022 |
| Token No | SM/22-23/4611 18/08/2022 | Serial | 021 |
| Patient Name | Mrs. MITALI SENGUPTA | Contact No | 9831930477 |
| Address | 93/A DEY ST | Age | 42 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||