Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05278 | Date 11/01/2022 |
| Token No | SM/22-23/4710 25/08/2022 | Serial | 021 |
| Patient Name | Mrs. CHANDANA SADHUKHAN | Contact No | 8282922414 |
| Address | 70 G.T.ROAD, BAT TALA | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||