Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02052 | Date 11/05/2019 |
| Token No | SM/22-23/4879 05/09/2022 | Serial | 032 |
| Patient Name | Mrs. BANDANA CHATTERJEE | Contact No | 8017074218 |
| Address | NALIKUL | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||