Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07676 | Date 15/11/2022 |
| Token No | SM/22-23/6413 16/11/2022 | Serial | 043 |
| Patient Name | Miss SAYANTIKA SRIMANI | Contact No | 9681305267 |
| Address | 580A G.T.ROAD, MANIKTALA, SERAMPORE | Age | 8 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||