Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07332 | Date 19/10/2022 |
| Token No | SM/22-23/5760 22/10/2022 | Serial | 012 |
| Patient Name | Mrs. MOUMITA SRIMANI | Contact No | 9903757687 |
| Address | 2/B/2 A K C BHATTACHARJEE STREET | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||