Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07497 | Date 03/11/2022 |
| Token No | SM/22-23/6153 09/11/2022 | Serial | 046 |
| Patient Name | Mrs. DIPA BISWAS. | Contact No | 9432650155 |
| Address | 91A THAKUR BATI STREET | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||