Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06313 | Date 08/07/2022 |
| Token No | SM/22-23/4612 18/08/2022 | Serial | 022 |
| Patient Name | Mrs. PUJA DEBI | Contact No | 8777314246 |
| Address | GOPAL GANGULY LANE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||